General Dx - Clinical Dx

Question 1

What makes myocardial infarct MORE likely in pat with chest pain

Answer 1

pain is accompanied by nausea and vomiting

Question 2

sharp substernal chest pain,
worse pain when laying supine or coughs
shortness of breath
rapid pulse
recent viral respiratory infection

Answer 2

acute pericarditis

Question 3

15yo athlete
chest pressure
shortness of breath
what HAS TO BE checked next

Answer 3

harsh systolic murmur ( hypertrophic cardiomyopathy (HC))

Question 4

prolonged exhalation phase of respiration

Answer 4

asthma

Question 5

rales and ronchi

Answer 5

respiratory infection

Question 6

pericardial friction rub

Answer 6

acute pericarditis

Question 7

chest pain - localized to side of rib cage to front of chest at sternum
what comes next?

Answer 7

rash

shingles/herpes zoster

Question 8

classic symptoms of pericardial inflammation

Answer 8

sharp chest pain - increases with 
deep breathing
coughing
sneezing 
may be worse with lying supine

Question 9

pericardial effusion

Answer 9

tachycardia and tachypnea

Question 10

pericarditis common with

Answer 10

rheumatic diseases

especially lupus erythematosus

Question 11

Any young athlete with chest pain must be checked for

Answer 11

HC
hypertrophic cardiomyopathy
rare but devastating

Question 12

MC cause of heart related death in athletes under 35

Answer 12

Obstructive HC

Obstructive hypertrophic cardiomyopathy

Question 13

Harsh systolic murmur that increases with standing upright and decreases with squatting

Answer 13

Obstructive HC

Obstructive hypertrophic cardiomyopathy

Question 14

typical herpes zoster (shingles) prsentation

Answer 14

unexplained pain along the dermatome distribution BEFORE rash