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PCCN Progressive Care Certified Nursing

Category - PCCN

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A 50-year-old man presents with frequent pain during rest periods. The pain lasts for a long time and may radiate to his left upper limb and jaw. He also complains of sweating and shortness of breath with this episode of pain. The pain increases with the passage of time and does not settle with the usual dose of nitroglycerine. Which of the following conditions is responsible for it?
  1. Stable angina
  2. Unstable angina
  3. Myocarditis
  4. Pericarditis
Explanation
Answer: B - The condition responsible for the pain that occurs frequently even during rest and lasts for at least more than five minutes is unstable angina. No vasodilator has a significant role in reducing this pain. It occurs during times of rest because the very cause of unstable angina is a rupture of the plaque which occurs even during rest periods.
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