Question 151 · LEK · Cross-cutting topics
A 60-year-old female patient, a current smoker, taking medication for type 2 diabetes and stage 2 hypertension, with a history of weight loss of 5 kg within the previous 4 months, presented to her family physician complaining of chest discomfort, tachycardia and shortness of breath on exertion. The day before, after coming home from work (job: shop cashier), where she had been subjected to a stress situation she had a chest pain lasting for 15-30 minutes with transient episode of weakness without a loss of consciousness. Differential diagnosis based on a patient's symptoms should include:
1) left ventricular non-compaction cardiomyopathy;
2) catecholamine cardiomyopathy;
3) acute coronary syndrome;
4) acute aortic syndrome;
5) pulmonary embolism.
The correct answer is:
2) catecholamine cardiomyopathy;
3) acute coronary syndrome;
4) acute aortic syndrome;
5) pulmonary embolism.
The correct answer is:
- A. 1,3,4.
- B. 2,3,4,5.
- C. 3,4.
- D. 1,3,5.
- E. 2,3.
Hint
Chest pain with near-syncope after stress in a smoker with risk factors and weight loss: list the life-threatening and stress-triggered causes.
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