Pericardial disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 45-year-old man comes to the internal medicine office due to progressive fatigue, chest discomfort, and dyspnea. One week ago, he had an upper respiratory infection that resolved without treatment. Medical history is significant for type 2 diabetes mellitus and hyperlipidemia. He has smoked 1 pack of cigarettes daily for the last 25 years. Temperature is 38.0°C (98.6°F), pulse is 120/min, and blood pressure is 85/67 mmHg. ECG is obtained and shown below:  
An ECG shows 12 leads of cardiac electrical activity on a grid. Rhythms are irregular, with some leads showing tall R waves and ST-T wave changes, indicating cardiac abnormalities.
Reproduced from: Wikimedia Commons

Which of the following is most likely to be found on physical examination of this patient? 

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