Question 5. Question : A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an electrocardiogram (ECG) because of her history of hypertension. You diagnose a previous myocardial infarction and ask her if she had any symptoms related to this.Which of the following symptoms would be more common in this patient’s age group for an AMI?
Pain radiating into the left arm
Pain radiating into the jaw
Mitral valve prolapse
Question 7. Question : Which of the following correlates with a sustained, high-amplitude point of maximal impulse (PMI)?
Question 8. Question : A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient’s pulse rate is 90/min and regular. The patient has gained 6 lbs over the past two months. She is on a nitroglycerine patch and furosemide daily. The explanation for her symptoms is:
Congestive heart failure
Angiotensin-converting enzyme (ACE) inhibitor induced coughing