A 30-year-old man after a stab wound has hypotension, distended neck veins, muffled heart sounds and clear lungs. What is the diagnosis?
Answer and explanation
Correct answer: A. Cardiac tamponade
- Step 1: Beck triad indicates tamponade. Answer: Cardiac tamponade. Why not the others: Tension pneumothorax, Massive haemothorax and Pulmonary contusion don't fit.
Practise more Abdominal surgery and trauma.
Free questions with an explanation for every one, and full timed ENAM Practice (Peru National Medical Examination) mock tests.
More Abdominal surgery and trauma questions
- A 22-year-old man has periumbilical pain that migrates to the right iliac fossa, with fever and rebound tenderness. What is the next step?
- A 45-year-old woman has right upper quadrant pain after fatty meals, fever and a positive Murphy sign. Ultrasound shows gallstones with a th…
- A 55-year-old man has jaundice, fever and right upper quadrant pain. What is this triad called?
- A 70-year-old man has colicky abdominal pain, vomiting, distension and absolute constipation, with a previous laparotomy. What is the most l…
- A 65-year-old man has sudden severe abdominal pain, a rigid abdomen and free air under the diaphragm on an erect chest radiograph. What is t…
- A 30-year-old man has a painful irreducible lump in the groin that is tender and associated with vomiting. What is the diagnosis?