Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

CMN574 > unit 1 noncardiac CP > Flashcards

unit 1 noncardiac CP Flashcards

1
Q

timing of mitral valve prolapse murmur?

A

pansystolic

or late systolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what extra sound does mitral valve prolapse have? and what is the timing?

A

mid-systolic click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

s/s of mitral valve prolapse? (3)

A
  • CP
  • dyspnea
  • palpitations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

if you see a patient with pectus excavatum what valvular disorder should you think of?

A

mitral valve prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

mitral valve prolapse effects men or women more?

A

women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

physical characteristics AW pts at risk for mitral valve prolapse?

A
  • healthy & thin
  • marfan’s
  • eherls danlos
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

psych hx AW mitral valve prolapse?

A

anxiety & depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mitral valve repair is indicated if _______ is present

A

regurg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

description of chest pain AW AA dissection?

A
  • abrupt onset
  • severe
  • tearing/ripping
  • radiate to back
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

risk factors for AA dissection (6)

A
  • smoking
  • cocaine
  • inflammatory or collagen disease
  • pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

s/s AW AA dissection?

A
  • ANXIETY
  • BP higher 15+ pts R>L
  • ABSENT UE PULSES
  • HOLOSYSTOLIC MURMUR
  • dyspnea
  • hypo or hypertensive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

timing of murmur AW AA dissection?

A

holosytolic (ST aortic insufficiency)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pericarditis CP location

A
  • pleuritic, substernal

* radiates to epigastrium, shoulders, back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

which non ischemic cause of CP is worse when supine?

A

pericarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what might you hear with pericarditis?

A

pericardial friction rub

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

s/s pericarditis

A
  • fever
  • dyspnea
  • pain worse when supine
  • pericardial friction rub
  • pleuritic substernal CP radiates to epigastrium, shoulders, back
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

causes of pericarditis (5)

A
  • VIRAL INFECTION
  • POST-MI
  • SLE/RA
  • uremia
  • CA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

respiratory causes of CP (6)

A
  • bronchitis
  • PNA
  • asthma
  • COPD
  • pleurisy
  • PE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

CP AW PNA & treatment of PNA

A

*dull or NO PAIN

20
Q

CP and s/s AW PE

A
  • pleuritic
  • sharp
  • stabbing
  • UNILATERAL
  • worse w deep breath or cough
  • tachycardic
21
Q

well score criteria is for?

22
Q

low wells score?

23
Q

criteria for wells score?

A
  • clinical s/s of PE/DVT (3pts)
  • PE #1 dx or equally likely (3pts)
  • HR > 100 (1.5pts)
  • immobilized x3d OR surg w/i past month (1.5pts)
  • previous PE/DVT (1.5pts)
  • hemoptysis (1pt)
  • malignancy w treatment w/i 6mo OR palliative care (1pt)
24
Q

high wells score?

A

> 6 = high suspicion- get CT & anticoagulate

25
s/s AW asthma CP presentation?
* fever * cough * wheezing * dyspnea
26
what to assess in a pt w respiratory chest pain?
* fever * egophony * rales * wheezes * friction rub
27
top 3 noncardiac causes of CP
1. MS 2. GI 3. psych
28
psych causes of CP
* stress * panic attack * somatization can aggravate GERD, asthma, angina
29
location of anxiety associated CP?
precordial
30
chest pain associated with depression?
* constant or intermittent * HEAVINESS * unrelated to meals/activity * SUDDEN OR GRADUAL
31
associated symptoms with CP caused by psych
* anxiety * dyspnea * hyperventilation * tingling/numbness in BILATERAL extremities * dizziness
32
2 questions to screen pscyh associated CP
in the last 6mo have you 1. had a spell or attack of feeling anxious? 2. felt heart racing or felt faint?
33
GI disorders AW CP
* GERD * esophagitis/spasm * PUD * hiatal hernia * gallbladder
34
risk factors associated with GI related CP
* hx of ulcers * smoking * ETOH * NSAIDS/asa * always ask about OTCs
35
CP description of GI related pain
*substernal BURNING
36
s/s esophageal spasm related CP
* squeezing | * pressure
37
PUD associated pain location and timing
* epigastric radiating to back * worse w meals * worse when supine
38
epigastric pain with palpation would indicate what type of non cardiac cause of CP
GI
39
tests to run for GI related pain?
* H.pylori | * EGD
40
treatment of GI related CP
* PPI * Abx if h.pylori * dietary changes * elevated HOB
41
causes of musculoskeletal related CP
* muscle strain * costochonrditis * broken rib * herpes zoster * fibro * SSC (what??) * chest wall contusion * protracted vomiting
42
risk factors for MS related CP
* young, active * trauma * overuse * hx chicken pox
43
location of MS related CP
* LOCALIZED | * pt can point to w one finger
44
s/s of MS related CP
* gradual onset * sharp or dull * localized * worse w arm movement/deep inspiration
45
diagnostic testing for musc CP
none unless trauma
46
tx for musc CP
rest, NSAIDS, ice x24h then heat

CMN574 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions