Cardiology Quiz #32: Myocardial Infarction Complications

1. A 72-year-old man presents to the emergency department 3 days after experiencing severe chest pain. His medical history is significant for hypertension and type 2 diabetes. An echocardiogram reveals a localized area of the ventricular wall that bulges outward during systole. Which of the following is the most likely complication he is experiencing? 

Question 1 of 5

2. A 65-year-old woman is admitted to the hospital with chest pain. She is diagnosed with a myocardial infarction and treated appropriately. On the third day of hospitalization, she suddenly develops acute shortness of breath and hypotension. An echocardiogram shows left ventricular free wall rupture. Which of the following pathophysiological mechanisms is most likely responsible for this complication? 

Question 2 of 5

3. Three days following an acute myocardial infarction, a 55-year-old man develops a new harsh, holosystolic murmur best heard at the left sternal border. He also reports shortness of breath. Which of the following is the most likely cause of these findings? 

Question 3 of 5

4. A 60-year-old man with a recent history of myocardial infarction suddenly presents with acute pulmonary edema and a new murmur. Echocardiography reveals posterior leaflet prolapse of the mitral valve. Which of the following complications has most likely occurred in this patient? 

Question 4 of 5

5. A 58-year-old male with a history of a recent myocardial infarction presents with chest pain that worsens upon lying down and improves when sitting up. On physical examination, a pericardial friction rub is noted. Which of the following is the most likely diagnosis? 

Question 5 of 5


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