Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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A nurse is examining a patient with constrictive pericarditis. Which of the following findings is not expected in this patient?
  1. Pulsus paradoxus
  2. Kussmaul’s sign
  3. Raised jugular venous pressure
  4. Slow “y” descent
Explanation
Answer- D - Slow “y” descent is not expected in this patient.
Signs of constrictive pericarditis:
•General examination - mimics CHF (especially right-sided HF) - ascites, hepatosplenomegaly, edema
•Increased JVP, Kussmaul's sign (paradoxical increase in JVP with inspiration), Friedrich's sign (prominent “y” descent > “x” descent)
•Pressures: BP normal to decreased, +/- pulsus paradoxus
•Precordial examination: +/- pericardial knock (early diastolic sound)
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