#august2020mccqe1
A 59-year-old man is hospitalized after suffering a severe myocardial infarction. He is initially treated with nitrates, β-blockers, and aspirin, and subsequently undergoes cardiac catheterization with placement of two stents. Following the procedure he is hemodynamically stable without recurrence of chest pain. However, 5 days after admission his heart rate is 134/min, blood pressure is 72/35 mm Hg, and respiratory rate is 29/min. Physical examination reveals distant heart sounds and an elevated jugular venous pressure. Which of the following complications is most likely causing this patient’s symptoms?
(A) Aneurysm formation
(B) Cardiac arrhythmia
(C) Fibrinous pericarditis
(D) Rupture of the papillary muscle
(E) Rupture of the ventricular free wall
A 59-year-old man is hospitalized after suffering a severe myocardial infarction. He is initially treated with nitrates, β-blockers, and aspirin, and subsequently undergoes cardiac catheterization with placement of two stents. Following the procedure he is hemodynamically stable without recurrence of chest pain. However, 5 days after admission his heart rate is 134/min, blood pressure is 72/35 mm Hg, and respiratory rate is 29/min. Physical examination reveals distant heart sounds and an elevated jugular venous pressure. Which of the following complications is most likely causing this patient’s symptoms?
(A) Aneurysm formation
(B) Cardiac arrhythmia
(C) Fibrinous pericarditis
(D) Rupture of the papillary muscle
(E) Rupture of the ventricular free wall
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