Chest pain

Question 1

5 main causes of chest pain

Answer 1

1. ACS
2. PE
3. Aortic dissection
4. Pneumonia
5. Pneumothorax

Question 2

PE symptoms

Answer 2

1. acute onset
2. Sharp chest pain
3. Breathlessness
4. Calf pain
5. Tachycardia

Question 3

Well’s criteria

Answer 3

1. Haemoptysis
2. Malignancy
3. Previous DVT/PE
4. Heart rate > 100 beats per minute
5. Surgery
6. Suspected DVT

Question 4

Investigations

Answer 4

1. ABG
2. ECG
3. CXR
4. D dimer
5. CTPA( gold standard )
6. ECHO

Question 5

ECG for PE

Answer 5

1. SIQ3T3
2. S waves in lead I
3. Q waves in lead III
4. Inverted T waves in lead III

Question 6

Treatment for PE

Answer 6

1. Shocked - thrombolysis

2. Anticoagulants to halt clot progression and allows fibronlysis

Question 7

Aortic dissection

Answer 7

a serious condition where there is a tear in the intima of the aorta.
2. blood flow in the inner and outer layers of the media

Question 8

Types of aortic dissection

Answer 8

1. Ascending aorta
2. Arch of the aorta and descending
3. Descending aorta