Highlights
Task Instructions
To complete the assessment, you must respond to a number of questions on the response template provided. The questions are based on the case scenarios outlined prior to the questions. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked. Use the correct medical terminology when answering all questions.
You will be assessed on the responses to the questions and will be deemed as either satisfactory or not satisfactory. ALL of the responses must be marked as satisfactory in order to pass the assessment.
Tom is a 76 year old male who is admitted to the ward from the emergency department after experiencing left-sided chest pain radiating down his left arm for approximately 2 hours. He is now pain-free and a provisional diagnosis of angina has been made by the emergency doctor. You notice that he has oedema to his feet and ankles and shortness of breath on exertion, which Tom has only noticed over the last 2 days.
As part of Tom’s health assessment, you discover that he smokes 40 cigarettes/day and weighs 110kgs. His height is 175cm and he has a history of hypertension and congestive cardiac failure. His medications include: Metoprolol 25mgs twice daily for his blood pressure, and Paracetamol 1gram as required for aches and pains.
He lives with his wife and their daughter who is married with 2 children lives around the corner. His daughter visits them every day when she picks up the children from school.
Question 1
Whilst in emergency, Tom had to have the following diagnostic tests:
Electrocardiogram (ECG)
Chest x-ray
Troponin 1 level
Briefly outline each test and why Tom might have required the test.
Question 2
Briefly outline the pathophysiology of angina and list two (2) signs and symptoms.
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