Question 1:Case: A 60-year-old man presents with central, crushing chest pain radiating to his jaw and left arm, persisting for over 30 minutes. His medical history includes hypertension, for which he takes amlodipine, and hyperlipidaemia, for which he is on atorvastatin and aspirin. His ECG shows ST-segment elevation in leads II, III, and aVF.What is the most likely diagnosis?

Question 2:Case: A 40-year-old woman presents with sharp, pleuritic chest pain that worsens when lying flat and improves when leaning forward. ECG shows ST elevations in leads V1, V2, V3, aVF and aVL. She had a recent viral infection and has been taking ibuprofen for muscle aches. What is the most likely diagnosis?

Question 3:Case: A 65-year-old man with poorly controlled hypertension presents with sudden, tearing chest pain radiating to his back. His medications include ramipril and amlodipine, but he has missed doses recently. His blood pressure is 180/100 mmHg in his right arm and 130/85 mmHg in his left. What is the most likely diagnosis?

Question 4:Case: A 55-year-old woman presents with a burning sensation in her chest that worsens after meals and when lying down. She also uses ibuprofen for osteoarthritis. The pain improves with antacids. What is the most likely diagnosis? 

Question 5:Case: A 32-year-old man, a smoker, presents with sudden onset of sharp, unilateral chest pain and shortness of breath after a marathon. He is not on any medications. Examination reveals decreased breath sounds on the right. What is the most likely diagnosis?

Question 6:Case: A 70-year-old woman, recently post-hip surgery, presents with pleuritic chest pain and breathlessness. She’s on low-dose enoxaparin for thromboprophylaxis but missed doses recently. Her oxygen saturation is 92% on room air.What is the most likely diagnosis?

Question 7:Case: A 60-year-old man presents with a persistent, dull chest pain associated with a cough and recent unintentional weight loss. He has a 40-pack-year smoking history but has not had any respiratory symptoms or infections recently. A chest X-ray reveals a cavitary right lung lesion. His only medications are paracetamol for occasional back pain. What is the most likely diagnosis?

Question 8:Case: A 52-year-old man presents with intermittent, sharp epigastric pain that sometimes radiates to his chest, particularly after meals. He’s been taking naproxen for back pain. Recently, he has noticed some nausea but no change in bowel habits. He has no cardiac history and does not smoke. What is the most likely diagnosis?

Question 9:Case: A 29-year-old gym enthusiast presents with left-sided chest pain after an intense weight-lifting session two days ago. The pain worsens with specific movements, especially during deep inhalation, and improves slightly with rest. He reports no shortness of breath or palpitations. He takes no medications but occasionally uses protein supplements. What is the most likely diagnosis?

Question 10:Case: A 34-year-old woman presents with episodes of chest pain accompanied by palpitations, sweating, and a feeling of impending doom. The episodes typically arise during stressful situations at work and do not occur during physical activity. She was recently prescribed propranolol for migraines but has no other significant health history. Cardiac workup, including ECG and troponin levels, is unremarkable. What is the most likely diagnosis?