02-26-2008, 03:09 PM
A 48-year-old man comes to the office complaining of "chest pain." He states that he has been having episodes of "vague chest pain" for the past few years when he is at home with his wife. The pain does not occur when he is sleeping or when he is away from the house. He is a traveling salesman and he says that he enjoys his work and likes "being on the road." His temperature is 37 C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 60/min. Physical examination is unremarkable. An electrocardiogram is normal. The most appropriate remark to this patient at this time is
A. "Do you feel the pain in your jaw when you feel it in your chest?"
B. "Does your wife know that you have chest pain?"
C. "Tell me how you feel when you have the pain."
D. "Why didn't you come to see me sooner?"
E. "You seem to have psychosomatic chest pain."
A. "Do you feel the pain in your jaw when you feel it in your chest?"
B. "Does your wife know that you have chest pain?"
C. "Tell me how you feel when you have the pain."
D. "Why didn't you come to see me sooner?"
E. "You seem to have psychosomatic chest pain."