American Board of Internal Medicine (ABIM) Certification Practice Exam

What symptom is commonly asymptomatic in patients with pericarditis related to rheumatoid arthritis?

1. Chest pain

2. Dyspnea

3. Palpitations

4. Asymptomatic nature

The correct answer is: Asymptomatic nature

In patients with pericarditis related to rheumatoid arthritis, it is notable that a certain subset may present without noticeable symptoms. Although chest pain, dyspnea, and palpitations are symptoms commonly associated with pericarditis, many patients may not exhibit overt signs of discomfort despite the presence of inflammation around the heart. This asymptomatic nature can be particularly important in understanding how the condition might be evaluated and managed. In certain instances, patients with rheumatoid arthritis may develop pericarditis as a part of their disease process, yet may not report typical symptoms. Therefore, it becomes crucial for clinicians to recognize that even without the manifestation of classic symptoms, pericarditis could still be present and cause significant complications if left undiagnosed. Recognizing this asymptomatic aspect can guide further evaluations and interventions, ensuring comprehensive care for patients with underlying rheumatoid arthritis who may be at risk for cardiovascular complications.