Young Women with dull chest pain? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-09-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 97
Threads: 52
Thanked 135 Times in 49 Posts
Reputation: 135
Question Young Women with dull chest pain?

A 29-year-old woman presents to the ED with a 3-week history of being awakened by a dull, prolonged chest pain that occurs about three or four times a week. She is a smoker but has never suffered a myocardial infarction (MI) or had chest pain before and has no family history of early MI. A 12-lead ECG is normal. Her first set of cardiac enzymes (creatine kinase, creatine kinase Mb, troponin I) is negative. If coronary angiography were taken at the time of her chest pain, which would be the most likely finding in her condition?

(A) Coronary artery spasm
(B) Greater than 80% stenosis in at least two coronary arteries
(C) No findings
(D) Plaque rupture and thrombosis
Reply With Quote Quick reply to this message
The above post was thanked by:
aungawa (04-10-2010), shahra (04-09-2010), yarasara77 (08-08-2012)



  #2  
Old 04-09-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 77
Threads: 25
Thanked 108 Times in 29 Posts
Reputation: 118
Idea! C !

I choose C as correct answer.
Reply With Quote Quick reply to this message
  #3  
Old 04-09-2010
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 4
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default the answer is A

The answer is A
Reply With Quote Quick reply to this message
  #4  
Old 04-09-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 273 Times in 105 Posts
Reputation: 303
Default

I think Its C ... Coz angiography will be normal in prinzmetal angina ... But it said no ECG change , In P.angina there is ST elevation .......
Reply With Quote Quick reply to this message
  #5  
Old 04-09-2010
USMLE Forums Master
 
Steps History: ---
Posts: 535
Threads: 12
Thanked 610 Times in 247 Posts
Reputation: 588
Default

The question is not cear whether the ecg and enzymes were done during the attack, if so then choice C is correct, otherwise the choice A is correct because in prinzmetal angina there will be ST changes, elevated cardiac enzymes and coronary spams.
Reply With Quote Quick reply to this message
  #6  
Old 04-10-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 97
Threads: 52
Thanked 135 Times in 49 Posts
Reputation: 135
Arrow The correct answer is A

The correct answer is A
Hints to the diagnosis of Printzmetal angina is female, young, and smoker. It's caused by coronary artery spasm which should be seen during the attack (therefore choice C is incorrect).
Choice B and D are obviously incorrect because the scenario does not go with a stable angina or MI.
Reply With Quote Quick reply to this message
The above post was thanked by:
aungawa (04-10-2010), rafa_decosta (06-21-2013), yarasara77 (08-08-2012)



Reply

Tags
Cardiology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Eplipetic Young Female Hohepa USMLE Step 1 Forum 7 03-11-2010 11:05 PM
Kerley B Lines Chest X ray Sarah-cali USMLE Step 2 CK Forum 3 03-06-2010 07:46 PM
Young female with anemia MLE-Love USMLE Step 2 CK Forum 1 03-03-2010 10:24 AM
An old man with abdominal pain DrSeddik USMLE Step 1 Forum 11 12-29-2009 12:36 AM
Pain in the hand Sarah-cali USMLE Step 1 Forum 5 12-17-2009 12:33 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)