Question 1

What is the third step in your management of this patient?&#10;A)administer BLS,as needed&#10;B)administer nitroglycerin&#10;C)summon EMS&#10;D)administer oxygen&#10;E)administer epinephrine

Accepted Answer

administer nitroglycerin

Question 2

Which of the following statements is true of the heart rate during an AMI?&#10;A)the heart rate may be rapid&#10;B)the pulse may feel weak or thready&#10;C)the heart rate may be slow&#10;D)A,B,and C&#10;E)A and C

Accepted Answer

During an Acute Myocardial Infarction (AMI), the heart rate can vary significantly. It may be rapid as the body tries to compensate for the decreased cardiac output, slow due to the impact on the heart's electrical system, or the pulse may feel weak or thready due to the impaired circulation.

Question 3

In contrast to angina,during MI it is common to observe:&#10;A)facial skin that appears ashen gray&#10;B)nailbeds demonstrating cyanosis&#10;C)nausea and vomiting&#10;D)A,B,and C&#10;E)A and C

Accepted Answer

During an MI, the body is experiencing a lack of blood flow to the heart muscle, which can result in decreased oxygenation and potentially lead to cyanosis of the nailbeds and ashen gray facial skin. Nausea and vomiting can also occur due to the stress on the body. Therefore, options A, B, and C are all common observations during an MI.

Question 4

What is the next step in management of this patient?&#10;A)administer nitrous oxide and oxygen&#10;B)administer epinephrine&#10;C)position comfortably&#10;D)position supine with feet elevated&#10;E)administer BLS,as needed

Accepted Answer

The answer of What is the next step in management...

Question 5

The characteristics of aggravation of the pain when breathing and swallowing,relief of pain when the patient bends forward from the waist,and often the presence of a fever before the onset of pain indicates:

A)musculoskeletal pain
B)pericarditis
C)esophagitis
D)pulmonary embolism

Accepted Answer

The characteristics described are consistent with the symptoms of pericarditis, an inflammation of the membrane surrounding the heart, which can cause pain that worsens with breathing and swallowing, but is relieved when the patient bends forward. Fever is also a common symptom of pericarditis. Musculoskeletal pain, esophagitis, and pulmonary embolism would not typically exhibit these specific characteristics.

Question 6

Following the management you prescribed above,the pain dissipates but then soon returns,increasing in intensity and radiating to a wider area than usual.&#10;A)summon EMS&#10;B)administer oxygen&#10;C)administer nitrous oxide and oxygen&#10;D)administer epinephrine&#10;E)position comfortably

Accepted Answer

The worsening of pain despite initial management is concerning and may indicate a more serious underlying condition. It is best to summon EMS for further evaluation and treatment.

Question 7

While managing this patient,it is observed that he no longer responds to verbal stimulus.&#10;A)administer oxygen&#10;B)administer epinephrine&#10;C)position comfortably&#10;D)position supine with feet elevated&#10;E)administer BLS,as needed

Accepted Answer

The answer of While managing this patient,it is observed that...

Question 8

Probably the most reliable diagnostic tool for differentiating angina from an AMI is:&#10;A)verbal questioning of the patient&#10;B)the patient's response to nitroglycerin or amyl nitrate&#10;C)the location of chest pain&#10;D)the radiation of chest pain

Accepted Answer

The patient's response to nitroglycerin or amyl nitrate can help in differentiating angina from an AMI. Nitroglycerin or amyl nitrate can relieve symptoms of angina, but they will not improve symptoms of an AMI. Therefore, if the patient's symptoms improve with nitroglycerin or amyl nitrate, it is more likely that they are experiencing angina rather than an AMI.

Question 9

What is your initial step in patient management?&#10;A)summon EMS&#10;B)administer nitrous oxide and oxygen&#10;C)administer epinephrine&#10;D)position comfortably&#10;E)position supine with feet elevated

Accepted Answer

The initial step in patient management should be to position the patient comfortably. This will ensure that the patient is in a safe and stable position and help prevent any further complications.

Deck 29: Chest Pain: Differential Diagnosis