WBR0028

Author	PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS
Exam Type	ExamType::USMLE Step 2 CK Flash Card
Main Category	MainCategory::Internal medicine
Sub Category	SubCategory::Cardiovascular
Prompt	Prompt::Kussmaul’s sign is seen in which of the following?
Answer A	AnswerA::Acute pericarditis
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::Pulmonary embolism
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::Right ventricular myocardial infarction
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::Chronic constrictive pericarditis
Answer D Explanation	AnswerDExp::
Answer E	AnswerE::Cardiac tamponade
Answer E Explanation	AnswerEExp::
Right Answer	RightAnswer::D
Explanation	[[Explanation::The correct answer is chronic constrictive pericarditis. Kussmaul’s sign is failure of the central venous pressure to decline during deep inspiration, which causes distended cervical veins, even when the patient is on diuretics. Other conditions that give a positive Kussmaul’s sign are tricuspid stenosis, right ventricular failure and restrictive cardiomyopathy. Educational Objective: References: ]]
Approved	Approved::Yes
Keyword
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::