🏥 USMLE Exam Prep

A 35-year-old male involved in a high-speed motor vehicle accident presents to the emergency department. He is hypotensive (BP 70/40 mmHg), tachycardic (HR 125 bpm), and his jugular veins are distended. On auscultation, heart sounds are muffled. What is the most appropriate immediate intervention?

A Chest tube insertion
B Pericardiocentesis
C Administration of intravenous fluids
D Emergency thoracotomy

✓ Correct Answer: Option B

The patient's presentation with hypotension, tachycardia, jugular venous distension, and muffled heart sounds is the classic Beck's triad, indicative of cardiac tamponade. Pericardiocentesis is the life-saving immediate intervention.

Related USMLE Exam Prep Questions