Pericarditis & Myocarditis

No disease-specific severity scores/tools or resources. If you think this is incorrect, let us know!

1. A patient presents to hospital with an 8-week history of sharp pleuritic chest pain that radiates to the neck and arms and is better sitting forward. Their ECG shows diffuse ST-elevation. Which of the following is the most appropriate classification of their pericarditis? 

a) Acute

b) Incessant

c) Recurrent

d) Chronic

2. Which 2 signs/symptoms would be necessary for a diagnosis of pericarditis? 

a) Sudden onset chest pain and heart palpitations

b) Heart palpitations and peripheral edema

c) Sudden onset chest pain and new or worsening pericardial effusion on ECHO

d) Elevated troponin and shortness of breath 

3. All of the following are MINOR predictors of poor pericarditis prognosis EXCEPT

a) Myopericarditis

b) Concomitant apixaban therapy 

c)  Immunosuppression

d) Fever

4. Which of the following indicates the MOST appropriate regimen for an acute episode of pericarditis in a patient weighing 60 kg? (Assume no contraindications, allergies and no infectious causes). 

a) ASA 750 mg q8h + colchicine 0.6 mg daily + pantoprazole 40 mg po daily + exercise restriction 

b) Ibuprofen 600 mg q8h + colchicine 0.6 mg BID + exercise restriction

c) Prednisone 0.2 mg/kg/day for 1-2 weeks

d) a + b are both appropriate

5. Which of the following is FALSE regarding treatment of myocarditis? 

a) Comorbid heart failure requires treatment with standard quad therapy (ACEI/BB/MRA/SGLT2i)

b) Supportive care and avoiding competitive sports are non-pharm recommendations 

c) Neither COVID-19 infection nor vaccination is associated with myocarditis 

d) Vaccine-induced myocarditis is usually self-limiting and mild