Medical MCQ-Three weeks after surgery to implant a mechanical aortic valve, a 70-year-old man develops chest pain, fever, and leukocytosis. On examination, the JVP is increased, there is a mechanical S2 sound, and a pericardial friction rub. Which of the following is the most likely diagnosis?

Three weeks after surgery to implant a mechanical aortic valve, a 70-year-old man develops chest pain, fever, and leukocytosis. On examination, the JVP is increased, there is a mechanical S2 sound, and a pericardial friction rub. Which of the following is the most likely diagnosis?

infection in the aortic valve

post pericardiotomy syndrome

cytomegalovirus (CMV) infection

pulmonary embolism

Question Category:

Medicine

Correct Answer:

post pericardiotomy syndrome

Description:

The principal symptom is the pain of acute pericarditis that usually develops 1-4 weeks following the cardiac surgery but could appear after months. It can also occur after myocardial infarction (Dressler's syndrome) or after trauma to the heart (stab wound, blunt trauma). The syndrome can remit and recur for up to 2 years. The acute symptoms usually subside in 1-2 weeks.

Previous MCQ

Next MCQ

Get More

Subject Mock Tests

Try practicing mock tests with over 200,000 questions from various medical subjects.

Attempt a mock test now

Mock Exam

Attempt an exam of 100 questions randomly chosen from all subjects.

Coming Soon