Embeded Suggestion

Extra Q

Name 6 life-threatening causes of acute onset chest pain

Extra A

(1) Acute coronary syndrome

(2) Aortic dissection

(3) Tamponade

(4) Pulmonary embolism

(5) Tension pneumothorax

(6) Esophageal rupture (mediastinitis)

Extra

Extra Q2

Name 4 cardiac causes of non-life-threatening chest pain

Extra A2

(1) Stable angina

(2) Vasospastic angina

(3) Stress-induced cardiomyopathy

(4) Pericarditis

Extra 2

Extra Q3

Workup for Pulmonary Embolism

(1) High probability of PE

(2) Low probability of PE

_{(Link to Chest Pain DDx sketch)}

Extra A3

(1) CT

(2) D-dimer

Extra 3

Extra Q4

Name 5 GI causes of non-life-threatening chest pain

Extra A4

(1) GERD

(2) Esophageal dysmotility

(3) Esophagitis

(4) Hiatal hernia

(5) Esophageal spasm

Extra 4

Extra Q5

Workup (4): Chest pain

_{(Link to Chest Pain DDx sketch)}

Extra A5

(1) ECG

(2) Troponins

(3) WBC

(4) CXR

Extra 5

Extra Q6

Name 5 causes of pleuritic chest pain

_{(Link to Chest Pain DDx sketch)}

Extra A6

(1) PE

(2) Pneumothorax

(3) Pleuritis

(4) Pneumonia

(5) Pericarditis

Extra 6

Extra Q7

GI causes (6): Chest pain

Extra A7

(1) GERD

(2) Esophageal dysmotility

(3) Esophagitis

(4) Hiatal hernia

(5) Esophageal spasm

(6) Esophageal rupture

Extra 7

Extra Q8

Cardiopulmonary auscultation findings (3): Ischemic chest pain / ACS

_{(Link to Chest Pain DDx sketch)}

Extra A8

(1) Murmur

(2) S3

(3) Crackles*

*Due to left sided-heart failure

Extra 8

Extra Q9

What type of chest pain is well-localized?

Extra A9

Musculoskeletal

Extra 9

Extra Q10

Describe stable angina

_{(Link to Chest Pain DDx sketch)}

Extra A10

Provoked by exertion

Extra 10

Extra Q11

Describe chest pain of GI etiology

Extra A11

Burning, retrosternal chest pain

Extra 11

Extra Q12

Presentation (6): Chest pain due to GERD

(1) Description of chest pain

(2) Behaviour of chest pain

(3) Worse when?

(4) Relieving factor

(5) Affected by?

(6) Associated symptom

Extra A12

(1) Burning, retrosternal chest pain

(2) Can radiate

(3) Worse at night

(4) Relieved with antacids

(5) May be affected by food

(6) Dysphagia or odynophagia

Extra 12

Extra Q13

Presentation: Vasospastic angina

(1) When?

(2) Population?

(3) Trigger?

Extra A13

(1) Occurs at night

(2) Women <50

(3) Cocaine

Extra 13

Extra Q14

Presentation: Stress-induced cardiomyopathy

(1) Quality of chest pain?

(2) Trigger?

(3) Population?

Extra A14

(1) Anginal

(2) Triggered by emotion

(3) Postmenopausal women

Extra 14

Extra Q15

Presentation (6): Pericarditis

(1) Chest pain description

(2) Constitutional symptom

(3) Auscultation finding

(4) Alleviating factor

(5) ECG finding

(6) Lab finding

_{(Link to Chest Pain DDx sketch)}

Extra A15

(1) Pleuritic chest pain

(2) Fever

(3) Friction rub

(4) Relieved by leaning forward

(5) Diffuse ST elevations

(6) Elevated WBC

Extra 15

Extra Q16

Associated symptoms (4): Pleuritis

Extra A16

(1) Pleuritic chest pain

(2) Rash

(3) Arthralgias

(4) Fever

Extra 16

Extra Q17

ECG findings (2): Cardiac tamponade

_{(Link to Chest Pain DDx sketch)}

Extra A17

(1) Low voltage on ECG

(2) Electrical alternans on ECG

Extra 17

Extra Q18

Presentation (5): Pneumonia

(1) Description of chest pain

(2) Constitutional symptom

(3) Associated symptom

(4) Lung exam finding

(5) Lab finding

_{(Link to Chest Pain DDx sketch)}

Extra A18

(1) Pleuritic chest pain

(2) Fever

(3) Dyspnea

(4) Crackles on lung exam

(5) Elevated WBC

Extra 18

Extra Q19

Presentation/Symptoms (3): Pulmonary emolism

_{(Link to Chest Pain DDx sketch)}

Extra A19

(1) Pleuritic chest pain

(2) Dyspnea

(3) Associated with DVT

Extra 19

Extra Q20

Presentation (5): Pneumothorax - 2 symptoms, 3 physical exam findings

_{(Link to Chest Pain DDx sketch)}

Extra A20

(1) Pleuritic chest pain

(2) Dyspnea

(3) Absent breath sounds

(4) Increased resonance to percussion

(5) Subcutaneous emphysema

Extra 20

Extra Q21

Presentation: Aortic dissection

(1) Onset

(2) Quality of chest pain

(3) Genetic risk factor

(4) Cardiac exam finding

Extra A21

(1) Acute onset

(2) Tearing chest pain

(3) Collagen disease

(4) Murmur

Extra 21

Extra Q22

Risk factors (3): DVT/PE

_{(Link to Chest Pain DDx sketch)}

Extra A22

(1) Immobilization

(2) Recent surgery

(3) Hypercoagulability (malignancy)

Extra 22

Extra Q23

Risk factors (4): Pneumothorax

_{(Link to Chest Pain DDx sketch)}

Extra A23

(1) Tall, thin, healthy male

(2) Smoking

(3) COPD

(4) Trauma

Extra 23

Extra Q24

Causes (3): Cardiac tamponade

_{(Link to Chest Pain DDx sketch)}

Extra A24

(1) Trauma

(2) Aortic dissection

(3) Invasive procedures

Extra 24

Extra Q25

Presentation (5): Esophageal rupture (mediastinitis)

Extra A25

(1) Retrosternal chest pain

(2) Fever

(3) Sepsis

(4) Subcutaneous emphysema

(5) Elevated WBC

Extra 25

Extra Q26

Causes (3): JVD

_{(Link to Chest Pain DDx sketch)}

Extra A26

Conditions causing right-sided heart failure:

(1) ACS

(2) PE

(3) Tamponade

Extra 26

Extra Q27

Physical exam components (6): Chest pain

_{(Link to Chest Pain DDx sketch)}

Extra A27

(1) Vitals

(2) JVD

(3) Heart sounds

(4) Lung sounds

(5) Lung percussion

(6) Abdominal exam

Extra 27

Extra Q28

Name 4 conditions associated with ST changes on ECG

_{(Link to Chest Pain DDx sketch)}

Extra A28

(1) Acute coronary syndrome

(2) Vasospastic angina

(3) Stress-induced cardiomyopathy

(4) Pericarditis

Extra 28

Extra Q29

Characteristics (2) and Associated symptom (1): Chest pain in Acute Coronary Syndrome

_{(Link to Chest Pain DDx sketch)}

Extra A29

Characteristics

(1) Diffuse

(2) Radiating

Associated symptom

(1) Dyspnea

Extra 29

Extra Q30

Age group commonly affected by Acute Coronary Syndrome

_{(Link to Chest Pain DDx sketch)}

Extra A30

> 55 years old

Extra 30