Acute coronary syndrome Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man presents to the emergency department complaining of chest pain that started 3 hours ago and was associated with shortness of breath. The patient has a history of hyperlipidemia and diabetes, and he has smoked a pack of cigarettes daily for 40 years. The patient’s temperature is 37.0°C (98.6°F), blood pressure is 140/90 mmHg, pulse is 110 bpm, and respirations are 25/minute. On physical examination, the patient appears anxious and diaphoretic. Which of the following features in the history and physical examination would suggest acute coronary syndrome?

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Sharp chest pain that is reproduced by palpation

Sharp chest pain that decreases with leaning forward

Pressure-like chest pain that radiates to the left shoulder

Tearing chest pain that radiates to the back

Muffled heart sounds