2018 Board Review Pre-Test:
Pericarditis and Myocarditis

Pericarditis and Myocarditis - Allen Anderson, MD

Please complete this brief Pre-Test to give a baseline for learning .

Question Title

* 1. A 68 year old man with history of CABG 6 years ago presents with worsening fatigue. He is treated with furosemide 80 mg bid, lisinopril and metoprolol. Exam shows jugular distention to mid-neck in the upright position, 2+ peripheral edema, clear lung fields, and a soft holosystolic murmur at the LLSB. Hemoglobin is 10.6, creatinine 1.9, BUN 56, NTproBNP 456. Echo shows normal LV size, LVEF 60%, PASP 40, IVC is dilated and not collapsing, lateral e/e’ ratio is 12 and septal e/e’ is 8. Chest film shows no pulmonary congestion and small bilateral effusions. ECG shows sinus rhythm at 72 bpm with LAE. What do you recommend?

A. Exercise stress test with perfusion imaging

B. Exercise stress testing with VO2

C. Referral for cardiac surgery

D. Start spironolactone

E. Increase furosemide to 120 bid

Question Title

* 2. Please provide your first and last name.
Pre-test questions will not be scored, your name is required solely to confirm completion.

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