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USMLE Pericardial Disease exam

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everything pericardial with well elaborated answers eg A pericardial effusion developing post myocardial infarction is termed: - Answer Dressler's Syndrome Which would be a characteristic of a large pericardial effusion?

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USMLE
Course
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USMLE Pericardial Disease exam
MULTIPLE SELECT QUESTION: choose all that apply.

An echo free space noted anteriorly, but not posteriorly could be:

Loculated pericardial effusion

All of the above

Pleural effusion

Epicardial fat pad
Aortic dissection – Answer Loculated pericardial effusion

Epicardial fat pad

Which of the following can cause an intracardiac-pericardial communication?

Trauma

Post cardiac catheterization procedures



Left ventricular rupture post myocardial infarction


All of the above – Answer All of the above

Dressler's syndrome is an etiology for pericarditis classified under which group? –
Answer Immune/Inflammatory

An inflammation of the pericardium which may result in pericardial effusion defines: -
Answer Pericarditis

The auscultatory sound associated with pericarditis in which the roughened pericardial
surfaces rub together is called:

Opening snap

Pericardial knock

Pericardial friction rub

, Tumor plop – Answer Pericardial friction rub

The heart is separated from the surrounding mediastinal structures by a double-walled,
fibro serosal sac called the: - Answer Pericardium

A thickened, fibrotic and adherent pericardium restricting diastolic filling of the heart
defines: - Answer Constrictive pericarditis

________________ results when the pressure in the pericardium is greater than the
pressure in the cardiac chambers, resulting in impaired cardiac filling.

Pleural effusion

Systemic hypertension

Pulmonary hypertension

Cardiac tamponade – Answer Cardiac tamponade

________________ tend to extend beyond the descending aorta, demonstrating no
separation between the descending aorta and the wall of the heart.

Pleural effusions

Pericardial effusions

Left atrial thrombus – Answer Pericardial effusions

An auscultatory finding in constrictive pericarditis may be a:

Carvallo's sign

Pericardial rub

Pericardial knock

Opening snap – Answer Pericardial knock

Which of the following is NOT a 2D finding associated with constrictive pericarditis?
Correct!

Increased diastolic wall motion

Lack of variation in the IVC size with respiration

Flattening of the diastolic wall motion

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