Pathology of Chronic Pericardial Diseases Quiz
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Questions and Answers

What characterizes effusive-constrictive pericarditis?

  • Decreased filling of the heart
  • Symptoms of volume overload only
  • Formation of a tamponade-like effect (correct)
  • Increased elasticity of the pericardium

Which of the following is a cause of effusive-constrictive pericarditis?

  • Tuberculosis (correct)
  • Systemic sclerosis
  • Rheumatoid arthritis
  • HIV infection

Why is treatment for effusive-constrictive pericarditis mainly surgical?

  • Medication therapy is ineffective
  • It is a reversible condition
  • The chronic nature of the condition (correct)
  • It requires immediate intervention

What leads to impaired filling in constrictive pericarditis?

<p>Scarring and loss of elasticity of the pericardium (B)</p> Signup and view all the answers

Which condition involves both constriction of the visceral pericardium and an effusion?

<p>Effusive-constrictive pericarditis (C)</p> Signup and view all the answers

What is the main effect of chronic inflammation in constrictive pericarditis?

<p>Scarring and thickening of the pericardium (B)</p> Signup and view all the answers

What is the main consequence of constrictive pericarditis on diastolic filling?

<p>Sudden arrest of further filling (B)</p> Signup and view all the answers

What role does the in-elastic pericardium play in constrictive pericarditis?

<p>Restricts diastolic filling after initial expansion of the myocardium (C)</p> Signup and view all the answers

What happens to venous return in constrictive pericarditis when the RV reaches its limit imposed by the pericardium?

<p>It stops abruptly (D)</p> Signup and view all the answers

Why does systemic venous pressure rise in constrictive pericarditis?

<p>Following the cessation of venous return to the right heart (C)</p> Signup and view all the answers

What is the effect of impaired LV filling in constrictive pericarditis on stroke volume and cardiac output?

<p>Decrease in stroke volume and cardiac output (D)</p> Signup and view all the answers

Approximately what percentage of patients with acute pericarditis develop constrictive physiology?

<p>9% (B)</p> Signup and view all the answers

What is a potential challenge in diagnosing constrictive pericarditis?

<p>It can be mistaken for restrictive cardiomyopathy (C)</p> Signup and view all the answers

In developed nations, what are the two most common underlying etiologies of constrictive pericarditis?

<p>Idiopathic causes and cardiac surgery (C)</p> Signup and view all the answers

What is a major cause of constrictive pericarditis in developing nations and immunosuppressed patients?

<p>Tuberculosis (D)</p> Signup and view all the answers

How does constrictive pericarditis affect heart function?

<p>It results in diastolic heart failure (B)</p> Signup and view all the answers

Which of the following is NOT listed as a miscellaneous cause of constrictive pericarditis?

<p>Pulmonary embolism (C)</p> Signup and view all the answers

What happens to the pericardium over time in relation to elasticity?

<p>It becomes rigid (D)</p> Signup and view all the answers

What percentage of patients can expect symptomatic improvement post pericardiectomy?

<p>90% (B)</p> Signup and view all the answers

What is the range of the five-year survival rate for patients with Chronic Pericardial Diseases?

<p>75-85% (A)</p> Signup and view all the answers

What is the potential operative mortality rate for Chronic Pericardial Diseases?

<p>5-20% (C)</p> Signup and view all the answers

What factors contribute to a less favorable long-term survival after pericardiectomy?

<p>Worsening NYHA classification (B)</p> Signup and view all the answers

Which factor plays a role in determining the long-term survival after pericardiectomy?

<p>High pulmonary artery systolic pressure (A)</p> Signup and view all the answers

What percentage of patients showed complete normalization of cardiac hemodynamics post pericardiectomy?

<p>60% (C)</p> Signup and view all the answers

What is the most common presenting symptom of chronic pericardial diseases?

<p>Dyspnea (A)</p> Signup and view all the answers

Which of the following is a common cardiovascular finding in chronic pericardial diseases?

<p>Kussmaul sign with expiration (A)</p> Signup and view all the answers

What is a nonspecific cardiovascular finding in chronic pericardial diseases?

<p>Elevated jugular venous pressures (A)</p> Signup and view all the answers

Which clinical presentation symptom is associated with paroxysmal nocturnal dyspnea in chronic pericardial diseases?

<p>Diaphoresis (C)</p> Signup and view all the answers

What is a less frequent finding in chronic pericardial diseases compared to cardiac tamponade?

<p>Pulsus paradoxus &gt; 10 mm Hg (C)</p> Signup and view all the answers

Which of the following is NOT a clinical examination finding in chronic pericardial diseases?

<p>Sinus bradycardia (A)</p> Signup and view all the answers

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