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Created page with "{{WBRQuestion |QuestionAuthor=Raviteja Reddy Guddeti, Aarti Narayan |ExamType=USMLE Step 2 CK |MainCategory=Internal medicine |SubCategory=Cardiovascular |MainCategory=Interna..." |
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|QuestionAuthor=Raviteja Reddy Guddeti, Aarti Narayan | |QuestionAuthor=Raviteja Reddy Guddeti, Aarti Narayan | ||
|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? | ||
|AnswerA=Tuberculous pericarditis | |||
|AnswerB=Coxsackie virus pericarditis | |||
|AnswerC=Collagen vascular disease induced pericarditis | |||
|AnswerD=Myxedema | |||
|AnswerE=Drug induced pericarditis | |||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 15:57, 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:: |
| 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:: Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |