Chest Pain

Question 1

Pain of dissection of the aorta?

Answer 1

Severe then eases (but severe is excruciating and rapid onset)

Question 2

Abdominal back pain with a pulsatile mass?

Answer 2

Ruptured AAA

Question 3

Diagnosis of CHD?

Answer 3

Exercise testing
Perfusion scanning
CT angiography

Question 4

Pros and cons of perfusion imaging

Answer 4

Pros:
-Non invasive
-Pharmacological stress in less mobile patients
-More precision than ETT
-Risk stratification
Cons:
-Radiation
-False positives and negatives

Question 5

Is CT angiography or angiography more precise?

Answer 5

Angiography

Question 6

Gold standard test for establishing coronary artery disease?

Answer 6

Angiography

Question 7

Possible side effects of the contrast used in angiography?

Answer 7

Rash, renal dysfunction, nausea