1. Which of the following is the most important question to ask during cardio-vascular health history: Answer sudden death of a family member 2. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea.Angina equivalenstare importantbecause: Answer A and B (Women with ischemic heart disease/some patients may have no symptoms) 3. A 55 year old post menopausal woman with a history of hypertension com-plains of jaw pain on heavy exertion.There were no complaints of chest pain.Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include: Answer exercise test 4. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever,mid sternal chest pain and generalized fatigue for thepast two days. She denies any cough or sputum production. She states that when she takes ibuprofen and rest that the chest pain does seem to ease off.Upon examination the patient presents looking very ill. She is leaning forwardand states that this is the most comfortable position for her. Temp is 102, BP100/70, heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lungs sounds clear.With these presenting symptoms your initialdiagnosis would be: Answer Pericarditis 5. Ahich symptom is more characteristic of non-cardiac chest pain: Vpain tendsto occur with movement stretching or palpation 6. Ahat is the most common valvular heart disease in the older adult: Answer aorticstenosis

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