Pericarditis 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 65-year-old woman presents to the emergency department for evaluation of progressive shortness of breath over the past ten days. The patient also has a nonproductive cough and unintentional weight loss of 10 kg (22 lbs) over the past two months. The patient actively smokes cigarettes and has a 40 pack-year history. Temperature is 37.0°C (98.6°F), pulse is 114/min, respiratory rate is 16/min, and blood pressure is 95/60 mmHg with a fall in the systolic pressure of 15 mmHg during inspiration. On examination the jugular veins are distended. The S1 and S2 heart sounds are distant on auscultation. Faint expiratory wheezes are present throughout the lung fields with crackles are heard in the right lower lobe. A chest radiograph shows a 4 cm right lower lobe mass and an enlarged cardiac silhouette. Which of the following is the most appropriate next step in management?
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