NBME Step 2 CK Form 8 Postviral myocarditis (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#7 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Postviral myocarditis 🔍 / 📺 / 🌳 / 📖
tags: infectious_disease inc

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submitted by ∗step_prep2(66)

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Patient with history of influenza-like illness ~1 month ago who presents with acute dyspnea, fatigue, light-headedness, ECG changes and echo showing hypokinesis with normal valves, most consistent with a postviral myocarditis
Key idea: On NBME exams, if a young patient presents with signs of cardiogenic shock without trauma, a common cause is myocarditis
Acute constrictive pericarditis would be seen in patient with radiation to the chest, open heart surgery or some other insult that would lead to fibrosis of the pericardium

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submitted by ∗azibird(279)

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What does "central hilar opacification bilaterally" on x-ray represent?

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sorrel1000 @azibird that confused me too. I was thinking sarcoidosis and then put constrictive pericarditis down. But now looking back, there wasn't enough support for sarcoidosis. +1

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