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Exam questionKROK 2Medicine · 2025

A 25-year-old woman complains of shortness of breath during physical exertion, fever of 37.8°C, dull pain in the area of her heart, and palpitations. According to the patient's medical history, 2 weeks ago she had a case of an acute respiratory viral infection. Objectively, the skin is pale, pulse 95/min, blood pressure 100/60 mm Hg. Auscultation detects vesicular respiration, respiratory rate 22/min. The heart sounds are rhythmic, the first heart sound is weakened at the apex, a systolic murmur can be heard. ECG shows reduced voltage and negative T wave. Laboratory tests detect elevated levels of AST, LDH, and CPK. What is the most likely diagnosis in this case?

Answer options

  1. Exudative pleurisy
  2. Acute myocardial infarction
  3. Viral myocarditis
  4. Acute pericarditis
  5. Infective endocarditis
Correct answer

Viral myocarditis

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