USMLE Forum Archives - USMLE Step 2 CK - chest pain
chest pain
bingousmle - 05-18-10 08:27
A 64-year-old white man comes to the clinic because of chest pain for the past 2 months. He has had intermittent episodes of substernal pain that occur at various times of the day and last 5 to 10 minutes. Physical examination is normal as is an electrocardiogram. The next step in evaluating his symptoms should be to order
(A) chest x-ray film
(B) echocardiography
(C) exercise stress test
(D) upper gastrointestinal endoscopy
(E) 24-hour monitoring of cardiac rhythm
bingousmle - 05-18-10 08:27
A 64-year-old white man comes to the clinic because of chest pain for the past 2 months. He has had intermittent episodes of substernal pain that occur at various times of the day and last 5 to 10 minutes. Physical examination is normal as is an electrocardiogram. The next step in evaluating his symptoms should be to order
(A) chest x-ray film
(B) echocardiography
(C) exercise stress test
(D) upper gastrointestinal endoscopy
(E) 24-hour monitoring of cardiac rhythm
The correct answer and explanation will be available after you answer.
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#4
Re: chest pain mtniharika - 05-18-10 15:13 My answer is: c.
exercise stress test to:
Diagnose coronary artery disease
Diagnose a possible heart-related cause of symptoms such as chest pain, shortness of breath or lightheadedness
Determine a safe level of exercise
Check the effectiveness of procedures done to improve coronary artery circulation in patients with coronary artery disease
Predict risk of dangerous heart-related conditions such as an MI
#5
Re: chest pain babbu5508 - 05-19-10 14:05 My answer is: c.
Your doctor uses the stress test to:
determine if there is adequate blood flow to your heart during increasing levels of activity
evaluate the effectiveness of your cardiac treatment plan
determine the likelihood of having coronary artery disease and the need for future testing
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