USMLE Forum Archives - USMLE Step 3 - Chest pain in young people
Chest pain in young people
zkadhem - 07-05-09 20:16
A 22-year-old female comes to the emergency department with a 4-hour history of chest pain and headaches. She has a history of intravenous drug abuse in the past. She admits to snorting and smoking crack cocaine prior to the episode of chest pain. Her vital signs reveal a temperature of 37.8°C (100F), heart rate of 106/min, blood pressure of 204/104 mmHg, and respiratory rate of 18/min. As you enter the exam room, she appears to be extremely anxious. The rest of her physical examination is unremarkable. Her EKG, chest x-ray, and initial set of cardiac enzymes are also normal. Which of the following is the most appropriate next step in the management of this patient?
zkadhem - 07-05-09 20:16
A 22-year-old female comes to the emergency department with a 4-hour history of chest pain and headaches. She has a history of intravenous drug abuse in the past. She admits to snorting and smoking crack cocaine prior to the episode of chest pain. Her vital signs reveal a temperature of 37.8°C (100F), heart rate of 106/min, blood pressure of 204/104 mmHg, and respiratory rate of 18/min. As you enter the exam room, she appears to be extremely anxious. The rest of her physical examination is unremarkable. Her EKG, chest x-ray, and initial set of cardiac enzymes are also normal. Which of the following is the most appropriate next step in the management of this patient?
The correct answer and explanation will be available after you answer.
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#16
Re: Chest pain in young people babbu5508 - 08-29-10 23:59 My answer is: e.
i'm not sure but i remember that beta blockers are the drugs of choice in cocaine abuse to relieve the sympathetic activity....
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