You are considering purchasing a treadmill for your office in hopes of evaluating your patients for

Discussion in 'Step 3' started by samuel, Dec 5, 2014.

  1. samuel

    samuel New Member

    You are considering purchasing a treadmill for your office in hopes of evaluating your patients for ischemia. You ask a medical student working in your office to look through patient charts to determine the approximate number of your current patients that would benefit from a treadmill exercise stress test. You explain to the student that this is a useful test to establish the possibility of reversible ischemia in a patient presenting with chest pain, and that not all patients would benefit from this type of diagnostic study. Which of the following patients should be sent for a routine treadmill stress test?
    A. A 49-year-old lawyer with long-standing uncontrolled hypertension
    B. A high-school teacher with new-onset angina that always happens while having breakfast
    C. A 42-year-old football coach with a cast on his left arm due to a fracture of his left humerus 1 week ago who presents with chest pain after running 2 to 3 blocks; his resting ECG is normal
    D. A 65-year-old patient with current chest pain and ECG changes showing 2 mm of ST elevation in leads II, III, and aVF
    E. A 35-year-old pilot with left-sided chest pain and a normal ECG

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