PANCE Exam Practice Questions: Quiz 405 January 16, 2016 By Aamir Khan Leave a Comment A 56-year-old man comes to the ER with dull, nonradiating left-sided chest pain, nausea, and vomiting for the past four hours. The chest pain is not related to activity. He denies a history of similar symptoms. You notice that his blood pressure is 80/45 and that his electrocardiogram (EKG) shows sinus tachycardia with a rate of 123. His oxygen saturation is 99% on room air. During his physical examination, you notice that his neck veins are bulging. Auscultation of his heart reveals quiet systolic and diastolic sounds. His breath sounds are coarse bilaterally. Based on his symptoms and physical examination, what is the most likely diagnosis? A. Pericardial tamponade B.Pneumothorax C. Aortic dissection D. Stable angina Δ
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