Approach to a patient with Chest pain in ED

A healthcare professional assessing a patient with chest pain in an emergency department setting, surrounded by medical equipment and charts, conveying urgency and care.

Chest Pain Assessment Quiz

Welcome to the Chest Pain Assessment Quiz! This engaging quiz is designed to test and enhance your knowledge about the approach to a patient presenting with chest pain in the emergency department. It covers key questions, conditions, and management strategies that are crucial for any healthcare professional.

Key Features:

13 thought-provoking questions
Multiple-choice and checkbox formats
Real-life clinical scenarios

13 Questions3 MinutesCreated by AssessingHeart42

63 year old chinese patient came in with complain of chest pain, Dr. Waziri will ask the following important questions : (multiple answers)

What is the color of your urine

When did the pain start

What is the nature of the pain and does it radiate anywhere

Does it hurt more upon breathing or any other activity

Do you use medical insurance

Are you married

How bad is the pain and what else do you feel

How severe is your pain on a scale of 0-10

The following are emergent conditions causing chest pain EXCEPT

Chest Pain can be caused by different organ relate pathology, pick one organ which is more indicative in relation to the characteristics describe:

Central, crushing, radiating to Jaw, neck, left arm, associated with excessive sweating

Pulmonary

Gastric

Pancreatic

Heart

Excruciating ripping pain of sudden onset, anterior chest radiating to the back

Pulmonary

Vascular

Musculoskeletal

Infectious

Dr Reinfrida is attending a 57 year old Male patient with Chest pain which started 15 minutes prior to arrival, he is now presenting with shortness of breath and diaphoresis, his vital signs BP 139/86 HR 69, SPO2 86, RR 32, Temp 37, which of the following management is most appropriate

Transfer patient to CCU

O2 support, IV access, ECG

IV Access, Troponin, wait for results then consult Cardiology

Give Aspirin 75mg + Clopidogrel 75mg

Give Aspirin 300mg, Clopidogrel 300mg and Atorvastatin 80mg

Dr Musa is attending a patient who is vitally stable, but is complaining of chest pain. Which of the following is appropriate and useful in the emergency department to reach a diagnosis (multiple answers)

A 25 year old athlete, known HIV patient on TLD for the past 2 years comes to the ED at 3.00am complaining of severe left sided chest pain that he is unable to sleep, Vitals on triage are stable. Dr Gloria assesses this patient and Primary survey is unremarkable except for the rashes as shown in the image, what is the most likely cause of his chest pain

A 66 year old diabetic woman who is a chronic smoker comes to the department wheeled in, Dr Nice attends this patient and vital signs are BP 209/101, HR 102, SPO2 95, Temp 36.5, RR 16, RBG 10 mmol/l, patient complains of gaseous and bloating sensation, associated with some chest discomfort unable to describe the characteristics, Primary survey is unremarkable, IV access and blood sample has been collected, what is the next most appropriate management?

Dr Valentino and Dr Shivangi attend a 58 year old male, who is rushed in by the ambulance from home, he is restless, complaining of sudden onset of tearing pain on the chest, with radiation to the back, Vital signs BP 186 / 86 , HR 112, Temp 36, SPO2 96, RR 20. ECG was unremarkable, which of the following would aid in diagnosos

Approach to a patient with Chest pain in ED

Chest Pain Assessment Quiz

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