NSG 6420 Week 4 Quiz 4

1. Question : Which of the following is the most important question to ask during cardiovascular health history? A. Number of offspring B. Last physical exam C. Sudden death of a family member D. Use of caffeine 2. Question 2. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because: A. Women with ischemic heart disease many times do not present with chest pain B. Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction C. Elderly patients have the most severe symptoms D. A & B only 3. Question 3. A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include: A. Echocardiogram B. Exercise stress test C. Cardiac catheterization D. Myocardial perfusion imaging 4. Question 4. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest pain does seem to ease off. Upon examination the patient presents looking very ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lung sounds are clear. With these presenting symptoms your initial diagnosis would be: A. Mitral Valve Prolapse B. Referred Pain from Cholecystitis C. Pericarditis D. Pulmonary Embolus 5. Question 5. Which symptom is more characteristic of Non-Cardiac chest pain? A. Pain often radiates to the neck, jaw, epigastrium, shoulder, or arm B. Pain tends to occur with movement, stretching or palpation C. Pain usually lasts less than 10 minutes and is relieved by nitroglycerine D. Pain is aggravated by exertion or stress