WBR0023

Author	PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS
Exam Type	ExamType::
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Prompt	[[Prompt::A 65 yr old male with a past medical history of tuberculosis presents to the clinic concerned about progressive shortness of breath for the past few months. He also complains of weakness, fatigue, and weight gain. Physical examination shows increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic heart sound. Chest X-ray showed calcification in the precordial area and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the definitive therapy for this patient?]]
Answer A	AnswerA::Pericardiocentesis
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::Pericardial resection
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::Diuretics
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::Antituberculous therapy
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Answer E	AnswerE::Glucocorticoids
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Right Answer	RightAnswer::
Explanation	[[Explanation::This patient has constrictive pericarditis as a result of tuberculosis. The correct therapy for this patient is pericardial resection. The pericardium is resected to relieve symptoms of systemic and pulmonary congestion, which causes the heart to relax effectively during diastole. Educational Objective: References: ]]
Approved	Approved::No
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