Chest Pain Scenario (Responder)

As you begin taking a structured history, you use the mnemonic OPQRSTA. What does the ‘O’ stand for?

To assess the ‘Q’ (quality) in OPQRSTA, which of the following questions would be most appropriate?

Which of the following radiation patterns would be the most concerning in this patient?

Looking at the SAMPLE mnemonic, what does the ‘P’ stand for? 

Considering your working impression of potential cardiac chest pain, which of the following medications would be most relevant to ask about or consider?

When assessing the ‘L’ in SAMPLE (Last oral intake), which question is most appropriate?

Which of the following symptoms may increase concern for a cardiac cause of chest pain?

Which presentation below may suggest a more non-cardiac origin of chest pain?

If the patient describes sharp chest pain along with discomfort in one of her calves, which diagnosis should you be concerned about?

Why is it important to ask if the patient has diabetes when assessing chest pain? 

Using your observation machine, you record: HR 96, RR 20, BP 132/86, SpO₂ 98%, Temp 36.5°C, GCS 15. What is this patient’s NEWS score?

The patient explains that her chest pain began 10 minutes ago while walking briskly to finish her shopping. Since sitting down, the pain has gradually eased and is now gone. What is the most likely differential diagnosis?

True or false: Stable angina is considered part of the acute coronary syndrome (ACS) spectrum?

Given that the patient is now pain-free, should you consider cancelling the ambulance response?

If the patient later experiences a recurrence of chest pain while at rest, indicating possible unstable angina, would you be able to assist her in taking her own prescribed GTN?