Review Questions: Shock with Jugular Venous Distention Ketul Chauhan, MD, and Douglas D. Schocken, MD Dr. Chauhan is a fellow in cardiovascular disease, and Dr. Schocken is a professor of medicine; both are at the Division of Cardiovascular Disease, Department of Internal Medicine, University of South Florida, College of Medicine, Tampa, FL. The questions below are based on the article “Shock with Jugular Venous Distention”. Choose the single best answer for each question.
	1. What is the treatment of choice for massive right atrial thrombus with hemodynamic compromise? AngioJet aspiration Heparin plus glycoprotein IIb/IIIa inhibitors Surgical extraction of the thrombus Thrombolytics Click here to compare your answer. 2. All of the following findings are present in cardiac tamponade EXCEPT Bilateral crackles Distant heart sounds Equalization of cardiac chamber pressures Pulsus paradoxus Rapid x and y descent on jugular venous distension Click here to compare your answer. 3. The differential diagnosis of shock with JVD includes all of the following conditions EXCEPT Anaphylaxis Cardiac herniation Constrictive pericarditis Massive pulmonary embolism Tamponade Click here to compare your answer. 4. Massive pulmonary embolism can commonly present with any of the following electrocardiogram manifestations EXCEPT Sinus tachycardia S1Q3T3 pattern T-wave inversion Bradycardia Right bundle branch block Click here to compare your answer.		5. Routine treatment of right ventricular myocardial infarction includes all of the following EXCEPT Anticoagulation Evaluation for revascularization with percutaneous coronary intervention Intravenous fluids Nitrates Click here to compare your answer. 6. Thrombolytics can be used as the treatment of first choice for any of the following pathologies EXCEPT Acute myocardial infarction Pericardial thrombus Massive pulmonary embolism Massive right atrial thrombus Click here to compare your answer. 7 PR-segment elevation on an electrocardiogram in the setting of acute myocardial infarction indicates which of the following? Atrial infarction related to proximal right coronary artery occlusion Lower likelihood of having heart block Normal variant Pericarditis Click here to compare your answer.
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