EMERGENCY MEDICINE QUESTIONS (EMQ)
Emergency Medicine Questions (EMQ)
121
| The first 150 words of the full text of this article appear below. |
Which of the following statements are true with respect to patients with aortic dissection presenting to the emergency department?
- Most patients have physical signs characteristic of the disease
- Chest pain of sudden onset is characteristic, and highly sensitive for the disease
- A d-dimer assay is helpful in distinguishing aortic dissection from pulmonary embolism
- The chest X-ray is completely normal in approximately 12% of patients
In the presence of severe hypertension which of the following drugs, used as monotherapy, are correctly matched with the condition?
- Aortic dissection—nitroprusside
- Cocaine-induced chest pain—esmolol
- Phaeochromocytoma—phentolamine
- Hypertensive encephalopathy—nitroprusside
Which of the following are true with respect to chest pain?
- Risk factors for coronary artery disease play a limited role in identifying which patients with undifferentiated chest pain have an acute coronary syndrome (ACS)
- Relief of pain with sublingual nitroglycerine strongly indicates that pain is of cardiac origin
- Ischaemia-modified albumin assay is helpful in distinguishing ACS from
. . . [Full text of this article]
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Emerg. Med. J. 2008 25: 121.[Extract] [Full Text] [PDF]
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