Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  nbme 2.1 




 
Kaplan Qbank USMLE



Author6 Posts
  #1

please explain this

Attached Files:
ck 002.jpg (451 KB, 72 downloads)
attachment
  #2

Chemo for SCLC usually involves doxorubicin that is toxic to myocardium.
The Pt has dilat. cardiomyopathy, and will have accentuated (C)

___________________
Don't live in a town where there are no doctors

  #3

doesnt it look like pericardial effusion with tamponade, intead of dilated cardiomyopathy

  #4

B

  #5

I think its cardiac tamponade... bp is so low... with raised jvp, an lungs are clear... its got to be cardiac tamponade
so obviously there must be pulsus paradox - accentuation of the fall in systolic pr on inspiration... B

  #6

I think the ans is C
The pt has distant heart sounds indicating a pericardial effusion especially with the hist of lung cacer(Remember conrad fissure when he said that any tumor in near by structures may cause it). Add to this elevated JVP----> will lead to elevated end diastolic pressure in left ventricle..
Plz correct me if i'm wrong







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.