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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?

  • 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?

  • 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?

  • 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?

    <p>Place the patient on a cardiac monitor, administer oxygen, and give aspirin.</p> Signup and view all the answers

    What is the most likely cause of the 36-year-old woman's chest pain and mild shortness of breath?

    <p>No ECG changes suggestive of acute coronary syndrome</p> Signup and view all the answers

    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.

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