Chest Pain: Low risk rule-out pathways – Post Test

Which of the following statements, concerning management of low risk chest pain, is correct?

A 36-year-old man presents to the emergency department with acute chest pain. Which of the following features of his clinical history would most strongly suggest that he has an acute coronary syndrome?

A 60 year old man, with a previous myocardial infarction three years ago, presents with a single episode of central chest heaviness lasting for 30 minutes. Which of the following tests is least likely to be helpful in his diagnostic assessment?

Which of the following statements, regarding troponin testing in patients with low risk chest pain, is correct?

A 32 year old man presents with central chest tightness, palpitations, sweating and light-headedness. He has a normal ECG. The most likely diagnosis is:

A 78 year old woman, with known coronary heart disease, has been suffering intermittent anginal pains over the previous two days. Which of the following diagnostic tests are most useful in predicting whether she will benefit from hospital admission and treatment?

An anxious 20 year old woman has central chest tightness that is worse on inspiration. She has been investigated with two consecutive ECGs, recorded 30 minutes apart. It has been noted that T wave morphology has changed between the two ECGs. The least likely cause for this change is:

Which of the following is not necessarily a characteristic of an ideal cardiac marker?

An 85 year old man, with known bronchial carcinoma and hypertension, presents with acute chest pain. His troponin T level is 0.3 ng/ml. Which of the following is least likely to be a cause of his elevated troponin?

A 40 year old man presents 2 hours after an episode of severe central chest pain radiating to both his arms. Which of the following investigation findings is least useful in diagnosing myocardial infarction?