HW9: Pericarditis Quiz

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The following are the layers of the pericardium, EXCEPT:

Fibrous

Serous visceral

Endocardium

Serous parietal

Endocardium

The causes of Pericarditis include all the following, EXCEPT:

Pericardial effusion

Following a heart attack

Bacterial infection; Tuberculosis

Viral infection

Trauma

Pericardial effusion

What murmur might you hear with Pericarditis?

"Pericardial Rub"

Mid systolic click

Harsh systolic ejection murmur

Loud long systolic blowing

Diastolic rumble with an opening snap

"Pericardial Rub"

Pericarditis can be an acute or chronic condition. 

True

False

True

The role of the pericardium is to protect the heart, to provide lubrication between the pericardium and the heart muscle in order to prevent friction and to provide nutrients to the heart muscle. 

True

False

False

Pericarditis is an infiltration or inflammatory process of the ________________ of the pericardium.

endocardial and visceral layers

parietal and myocardial layers

parietal and visceral layers

fibrous and serous layers

parietal and visceral layers

All the following are complications of Constrictive Pericarditis, EXCEPT:

Restrictive diastolic filling

Pericardial effusion

Pressure equalization of all four chambers

Decreased cardiac output

Decreased pressures in all four chambers

Decreased pressures in all four chambers

The 2-D echo findings for Constrictive pericarditis include all the following EXCEPT:

IVS bounce/shuttering

Bright-dense, thick pericardium

Reduced EF with LVE

Dilation of the IVC and hepatic veins

Pericardial effusion

Reduced EF with LVE

The M-Mode findings for constrictive pericarditis include all the following, EXCEPT:

Flat inferior-lateral wall in diastole

Paradoxical septal motion/notching of the septum

Left atrial enlargement

Bright dense pericardium

Left ventricular enlargement

Left ventricular enlargement

Doppler findings for Constrictive pericarditis will show respiratory variations on the PW spectral doppler. The mitral valve velocity will increase with inspiration and decrease with expiration, while the tricuspid valve velocity will decrease with inspiration and increase with expiration. 

True

False

False

Dressler's Syndrome, also known as "post myocardial infarction syndrome", includes of all the following findings, EXCEPT:

Pleural effusion

Tachycardia

Fever, CP, and joint pain

Pleurisy

Pericardial effusion

Tachycardia

The M-Mode demonstrates and is an example of what cardiac pathology?

Constrictive Pericarditis

Acute pericarditis

Pulmonary hypertension

Dressler's syndrome

RVVO

Constrictive Pericarditis

The images are examples of what cardiac pathology?

Constrictive Pericarditis

Constrictive Pericarditis with Pericardial effusion

Acute Pericarditis

RVVO

Constrictive Pericarditis

The Doppler images are suggestive of what cardiac pathology or condition?

Constrictive Pericarditis

Pericardial effusion

Dressler's syndrome

Acute pericarditis

Restrictive Cardiomyopathy

Constrictive Pericarditis

The image below is an example of what cardiac pathology:

Pericardial effusion

Constrictive pericarditis

Constrictive Pericarditis with pericardial effusion

Acute pericardial effusion

Constrictive pericarditis

The clip below is sometimes visualized after a cardiac incident, infarction or surgery, followed by acute pericarditis. What does this image clip represent?

Dressler's syndrome

Pleural effusion

Constrictive pericarditis

Pericardial effusion

Dressler's syndrome

The image below is an example of what cardiac pathology:

Pericardial effusion

Constrictive pericarditis with pericardial effusion

Constrictive pericarditis with pericardial effusion

Pericarditis versus Restrictive Cardiomyopathy: Select all the following answers (multiple answers) that apply to the image:

Surrounds entire heart, impedes diastolic filling

Restrictive/ Infiltrated Cardiomyopathy

Constrictive pericarditis

Large MV E, small A, with respiratory changes

Involves infiltrated myocardium, stiff ventricular walls, impedes diastolic filling

Large MV E, small A, without respiratory changes

Restrictive/ Infiltrated Cardiomyopathy

Involves infiltrated myocardium, stiff ventricular walls, impedes diastolic filling

Large MV E, small A, without respiratory changes

Pericarditis verses Restrictive Cardiomyopathy: Select all the following answers (multiple answers) that apply to the image:

Large MV E, small A, without respiratory changes

Large MV E, small A, with respiratory changes

Constrictive pericarditis

Restrictive/ Infiltrated Cardiomyopathy

Involves infiltrated myocardium, stiff ventricular walls, impedes diastolic filling

Surrounds entire heart, impedes diastolic filling

Surrounds entire heart, impedes diastolic filling

Large MV E, small A, with respiratory changes

Constrictive pericarditis

Explain 2 findings in these images that support the diagnosis of constrictive pericarditis.