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Kaplan Qbank USMLE



Author10 Posts
  #1

On examining a 51-year-old man with chest pain who was just involved in a motor vehicle accident, you find that at the end of expiration his blood pressure is 130/90 mmHg and at the end of inspiration it is 110/92 mmHg. Which one of the following conditions is most likely?


    1)    cardiac tamponade

    2)    pneumothorax

    3)    multiple rib fractures

    4)    acute myocardial infarction

    5)    aortic rupture

  #2

5?


  #3

abdomianal aorta rupture?


  #4

don't have the answer. any body else can give an answer?

  #5

cardiac tamponade.

theyre describing pulsus paradoxus. clinical skills!


  #6

1 cardiac tamponade---

dec in BP on inspiration (PULSUS PARADOXUS)

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  #7

yes cardiac tamponade!! my bad ...what was i thinking


  #8

but whats the explanation of logic behind Cardiac tamponade and mva?


  #9

MVA can cause trauma to the chest. Either blunt trauma or a penetrating injury.


  #10

nod







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