WBR0025
| Author | PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS |
|---|---|
| Exam Type | ExamType:: |
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| Prompt | [[Prompt::A 65 year old male presents with fever, weakness, and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the pathognomonic EKG finding in this patient?]] |
| Answer A | AnswerA:: |
| Answer A Explanation | AnswerAExp::T wave inversion and poor R wave progression. |
| Answer B | AnswerB::T wave inversion and poor R wave progression suggests ischemia, and is not pathognomonic for |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC:: |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD:: |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE:: |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is PR depression, as the patient has acute pericarditis. PR depression is the pathognomonic EKG finding in acute pericarditis, even though ST elevation is often seen in all leads universally. ST segment elevation is seen in other cardiac conditions such as therefore the finding is not pathognomonic. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |