WBR0016: Difference between revisions
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|ExamType=USMLE Step 2 CK | |ExamType=USMLE Step 2 CK | ||
|Prompt=A 45 year old male presented to the office with complaints of dyspnea and mild retrosternal chest pain radiating to the back and the shoulders. It is aggravated with lying down and coughing, and is relieved by sitting up and leaning forward. Physical examination is essentially normal. EKG shows widespread ST elevations and PR segment depressions. Echocardiogram showed mild effusion in the pericardial sac. Over the subsequent days, he developed progressive dyspnea. A therapeutic pericardiocentesis showed bloody fluid. What is the most likely diagnosis? | |Prompt=A 45 year old male presented to the office with complaints of dyspnea and mild retrosternal chest pain radiating to the back and the shoulders. It is aggravated with lying down and coughing, and is relieved by sitting up and leaning forward. Physical examination is essentially normal. EKG shows widespread ST elevations and PR segment depressions. Echocardiogram showed mild effusion in the pericardial sac. Over the subsequent days, he developed progressive dyspnea. A therapeutic pericardiocentesis showed bloody fluid. What is the most likely diagnosis? | ||
|Explanation=The correct answer is tuberculous pericarditis. Among all of the options given, TB pericarditis is the only cause of bloody pericardial effusion. Malignant pericarditis is another cause of bloody pericardial effusion. Other rare causes are rheumatic fever, post-cardiac injury, post-myocardial infarction and uremic pericarditis. | |||
|AnswerA=Tuberculous pericarditis | |AnswerA=Tuberculous pericarditis | ||
|AnswerAExp=This is the correct answer. | |||
|AnswerB=Coxsackie virus pericarditis | |AnswerB=Coxsackie virus pericarditis | ||
|AnswerC=Collagen vascular disease induced pericarditis | |AnswerC=Collagen vascular disease induced pericarditis | ||
Revision as of 16:22, 12 February 2013
| Author | PageAuthor::Raviteja Reddy Guddeti, Aarti Narayan |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 45 year old male presented to the office with complaints of dyspnea and mild retrosternal chest pain radiating to the back and the shoulders. It is aggravated with lying down and coughing, and is relieved by sitting up and leaning forward. Physical examination is essentially normal. EKG shows widespread ST elevations and PR segment depressions. Echocardiogram showed mild effusion in the pericardial sac. Over the subsequent days, he developed progressive dyspnea. A therapeutic pericardiocentesis showed bloody fluid. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Tuberculous pericarditis |
| Answer A Explanation | AnswerAExp::This is the correct answer. |
| Answer B | AnswerB::Coxsackie virus pericarditis |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Collagen vascular disease induced pericarditis |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Myxedema |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Drug induced pericarditis |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is tuberculous pericarditis. Among all of the options given, TB pericarditis is the only cause of bloody pericardial effusion. Malignant pericarditis is another cause of bloody pericardial effusion. Other rare causes are rheumatic fever, post-cardiac injury, post-myocardial infarction and uremic pericarditis. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |