Podcast
Questions and Answers
Which of the following is the most appropriate next step in management for the 59-year-old man with chest pain and T-wave inversions on ECG?
Which of the following is the most appropriate next step in management for the 59-year-old man with chest pain and T-wave inversions on ECG?
- Place the patient on a cardiac monitor, administer oxygen, and give aspirin. (correct)
- Call the cardiac catheterization laboratory for immediate percutaneous intervention (PCI).
- Order a chest x-ray; administer aspirin, clopidogrel, and heparin.
- Give the patient two nitroglycerin tablets sublingually and observe if his chest pain resolves.
What is the most likely cause of the 59-year-old man's chest pain that radiates to his left arm?
What is the most likely cause of the 59-year-old man's chest pain that radiates to his left arm?
- Hypercholesterolemia
- Hypertension
- Smoking history
- T-wave inversions on ECG (correct)
What should be done for the 36-year-old woman with sudden onset left-sided chest pain and mild shortness of breath?
What should be done for the 36-year-old woman with sudden onset left-sided chest pain and mild shortness of breath?
- Give the patient two nitroglycerin tablets sublingually and observe if her chest pain resolves. (correct)
- Place the patient on a cardiac monitor, administer oxygen, and give aspirin.
- Call the cardiac catheterization laboratory for immediate percutaneous intervention (PCI).
- Order a chest x-ray; administer aspirin, clopidogrel, and heparin.
What is the most appropriate next step in management for the 36-year-old woman with sudden onset left-sided chest pain and mild shortness of breath?
What is the most appropriate next step in management for the 36-year-old woman with sudden onset left-sided chest pain and mild shortness of breath?
What is the most likely cause of the 36-year-old woman's chest pain and mild shortness of breath?
What is the most likely cause of the 36-year-old woman's chest pain and mild shortness of breath?
Study Notes
Chest Pain and Cardiac Dysrhythmias Management
- 59-year-old man with chest pain, hypertension, hypercholesterolemia, and smoking history
- ECG shows T-wave inversions in lateral leads
- Question: What is the most appropriate next step in management?
- Options for management: nitroglycerin, cardiac monitor with oxygen and aspirin, cardiac catheterization, chest x-ray with aspirin, clopidogrel, and heparin, β-blocker
- 36-year-old woman with sudden onset of left-sided chest pain and mild shortness of breath
- Symptoms occurred the night before and she was able to fall asleep
- No mention of medical history or ECG findings
- No question about management provided
- Possible management options could include similar choices as for the previous case
- No specific indications for any particular management option
- More information needed to determine appropriate next steps for this patient
- Both cases highlight the importance of proper evaluation and management of chest pain and cardiac dysrhythmias
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Description
Test your knowledge on chest pain and cardiac dysrhythmias with this quiz. Explore a case study of a 59-year-old man presenting to the emergency department with chest pain and learn about the appropriate management based on his history, symptoms, and ECG findings.
