Paper II — 2024 December (Supplementary) (2019 Scheme) — Qiv

Paper II

2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Hemorrhagic pericardial effusion is seen in

• a) Infective endocarditis
• b) Metastatic carcinoma
• c) Acute myocarcial infection
• d) Rheumatic heart fever

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Answer

Correct answer: b) Metastatic carcinoma

Haemorrhagic pericardial effusion is classically seen with malignant involvement of the pericardium (metastatic carcinoma, e.g., from lung or breast primary), as the tumour causes vascular erosion/friable neovascularization within the pericardial deposits; it is also seen with tuberculous pericarditis. The other listed conditions (infective endocarditis, MI, rheumatic fever) more typically cause serous or fibrinous, not haemorrhagic, effusions.

Related Concepts

1. 1Rheumatic Heart Disease

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