Cardiac Inflammation Quiz: Endo Or Peri?

1. Which cardiac layer is primarily affected in pericarditis?

Endocardium

Myocardium

Pericardium

Epicardium

2. A patient presents with a new heart murmur, fever, and positive blood cultures. Which condition is most likely?

Pericarditis

Endocarditis

Myocarditis

Rheumatic fever

3. Which finding is classic for acute pericarditis?

Friction rub on auscultation

New regurgitant murmur

Splinter hemorrhages

Osler nodes

4. A patient with pericarditis is prescribed colchicine. What is the expected benefit?

Antibiotic effect

Reduces inflammation and recurrence risk

Prevents tamponade

Improves cardiac output

5. Which of the following is a risk factor for bacterial endocarditis?

Recent viral infection

Prosthetic heart valve

Hypertension

Obesity

6. What is the primary antibiotic therapy for streptococcal endocarditis?

Ciprofloxacin

Penicillin or ceftriaxone

Vancomycin alone

Metronidazole

7. Which cardiac layer is primarily affected in endocarditis?

Epicardium

Endocardium

Myocardium

Pericardium

8. In endocarditis, the Duke criteria help establish diagnosis. Which finding is a major criterion?

Fever

Positive blood cultures

Immunosuppression

Recent dental work

9. Pericarditis may be caused by viral, bacterial, or autoimmune etiologies. Which virus is most common?

Influenza

Coxsackievirus

Coronavirus

Adenovirus

10. Which complication is most common in untreated endocarditis?

Pericardial effusion

Heart failure from valve damage

Pericarditis

Pulmonary edema only

11. A patient with pericarditis shows electrical alternans on ECG. What does this indicate?

Normal variant

Pericardial effusion with tamponade

Atrial fibrillation

Myocardial infarction

12. Which nursing intervention is most important for a patient with acute pericarditis?

Encourage supine positioning

Administer NSAIDs and monitor pain

Restrict fluid intake

Promote strenuous activity

13. A patient with pericarditis develops signs of tamponade. Which finding would you expect?

Widened pulse pressure

Elevated JVP and hypotension

Decreased heart rate

Loud S3 gallop

14. A patient with endocarditis has splinter hemorrhages under the nails. What is the mechanism?

Direct bacterial invasion

Immune complex vasculitis

Septic emboli from vegetations

Thrombocytopenia

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16. Which ECG change is commonly seen in acute pericarditis?

ST elevation in all leads

PR depression

T-wave inversion in V1-V2 only

Prolonged QT interval

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19. Which finding helps differentiate endocarditis from pericarditis on physical exam?

Friction rub

New cardiac murmur

Chest pain on inspiration

Pericardial knock

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Cardiac Inflammation Quiz: Endo or Peri?

1. Which cardiac layer is primarily affected in pericarditis?

2.

What first name or nickname would you like us to use?

2. A patient presents with a new heart murmur, fever, and positive blood cultures. Which condition is most likely?

3. Which finding is classic for acute pericarditis?

4. A patient with pericarditis is prescribed colchicine. What is the expected benefit?

5. Which of the following is a risk factor for bacterial endocarditis?

6. What is the primary antibiotic therapy for streptococcal endocarditis?

7. Which cardiac layer is primarily affected in endocarditis?

8. In endocarditis, the Duke criteria help establish diagnosis. Which finding is a major criterion?

9. Pericarditis may be caused by viral, bacterial, or autoimmune etiologies. Which virus is most common?

10. Which complication is most common in untreated endocarditis?

11. A patient with pericarditis shows electrical alternans on ECG. What does this indicate?

12. Which nursing intervention is most important for a patient with acute pericarditis?

13. A patient with pericarditis develops signs of tamponade. Which finding would you expect?

14. A patient with endocarditis has splinter hemorrhages under the nails. What is the mechanism?

15. Endocarditis vegetations primarily form on ____.

16. Which ECG change is commonly seen in acute pericarditis?

17. Pericarditis often presents with chest pain that worsens when the patient ____.

18. Rheumatic fever can lead to chronic rheumatic heart disease with valve damage. This increases risk for ____.

19. Which finding helps differentiate endocarditis from pericarditis on physical exam?

20. A patient with endocarditis develops small painful nodules on fingertips. These are called ____.