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1. 1/3 of these patients have

normal coronary arteries

Variant/Prinzmetal angina

2. Accompanied by N&V,

diaphoresis, and SOB

Acute MI

3. Acute onset of pain, SOB,

decreased breath sounds,and subtle edge on CXR

Pneumothorax

4. Acute onset of severe,

tearing pain

Aortic dissection

5. Angina at rest due to

unstable plaque or

vasoconstriction

Unstable angina

6. Aortic regurg murmur Proximal aortic dissection

7. Associated with anterior

MIs

Mobitz Type II, complete heart

block

8. Associated with inferior

MIs

Bradycardia, first-degree AV

blocks, Mobitz Type I

9. Beck's Triad Pericardial Tamponade

10. Burning pain with acid

taste

GERD/dyspepsia

11. Can lead to mediastinitis Esophageal Rupture

(Boorhave's syndrome)

12. Cardiac risk factors DASH SHTS - DM, Age > 40,

Sex, HTN, Smoker,

Hypercholesterolemia, Truncal

obesity, Sedentary lifestyle

13. Cause of stable angina Plaque rupture and thrombosis,vasoconstriction

14. Chest pain at rest Unstable angina,

Variant/Prinzmetal angina

15. Chest pain at rest due to

vessel spasm

Variant/Prinzmetal angina

16. Components of Beck's

Triad

Hypotension, JVD,

Distant/muffled heart sounds

17. Constant retrosternal

pain that is worse with

lying flat and relieved by

sitting forward

Pericarditis

18. Decreased distal pulses

or neurologic findings

Distal aortic dissection

19. Decreases heart's oxygen

demand

BB

20. Decreases mortality ASA, ACE-I, BB, NTG

21. Don't give this drug with

CHF or PVD

BB

22. Don't use this drug with

inferior MI

Morphine

23. Don't use this drug with RV

infarction

NTG

24. Due to inadequate perfusion of

the myocardium

Unstable angina

25. EKG findings for RV infarction ST elevation in V4 on

right-sided EKG26. Exertional and relieved with

sublingual NTG

Stable angina

27. Friction rub Pericarditis

28. Improves GERD/dyspepsia Antacids / GI cocktails

29. Inverted T wave in lead 3 Pulmonary embolus

30. Lavigne's sign Clutching chest

31. Location of HZ (shingles) Thoracic

32. Main utility of EKG Detect MI

33. May be worse after meals GERD/dyspepsia

34. May present with pain before a

rash develops

HZ (shingles)

35. Med that relaxes smooth muscle NTG

36. MEDICAL EMERGENCY Esophageal Rupture

(Boorhave's syndrome)

37. Platelet response to a rupture Adhesion, activation,

aggregation

38. Pneumonia: gradual or acute

onset of pain?

Gradual

39. Positional or pleuritic chest pain Pericardial

Tamponade

40. PR depressions Pericarditis

41. Prodrome that women often

present with for one month prior

to MI

Fatigue, difficulty

sleeping, SOB

42. Q wave in lead 3 Pulmonary embolus

43. Reduces LV dysfunction ACE-I

44. RUQ pain Cholecystitis

45.

Sinus tachycardia on EKG withevidence of right heart strain Pulmonary embolus

46. Sites where fibrinogen connects

and allow platelets to aggregate

Glycoprotein IIb/IIIa

receptors

47. ST elevations STEMI,

Variant/Prinzmetal

angina, Pericarditis

48. State between stable angina and

MI

Unstable angina

49. Symptoms with inferior MI Abdominal pain, N&V

Chest PainStudy online at quizlet.com/_5og0d

7/31/2019 Chestpain Ddx

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50. T wave inversions Pericarditis, Pulmonary Embolus

51. Tachycardia Pericardial Tamponade

52. Treatment for anxiety attack SSRIs, NERIs

53. Two components of Acute Coronary Syndrome Unstable angina, MI

54. Two most frequently missed MIs Posterior, high lateral

55. Vasodilatory NTG, CCB

56. What drug should you give for CHF? ACE-I

57. What should you not give to a pt who uses cocaine? Beta Blocker

58. When is oxygen not needed? Not hypoxic, admitted, pain-free