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General Medicine · Cardiology: myocarditis
Sample itemA young adult develops chest pain, troponin elevation, and reduced ventricular function several days after a viral illness, with unobstructed coronary arteries. What diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Myocarditis
Myocarditis is inflammatory myocardial injury that can follow viral infection and mimic acute coronary syndrome. Cardiac MRI and clinical context help support diagnosis.
Option by option
A. Myocarditis (correct)
Correct. Viral prodrome with myocardial injury and unobstructed coronaries suggests myocarditis.
B. Aortic dissection
Aortic dissection causes abrupt tearing pain and vascular asymmetry.
C. Stable angina
Stable angina does not cause troponin elevation or acute ventricular dysfunction.
D. Mitral stenosis
Mitral stenosis is a chronic valvular lesion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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