pts
Which patient is at the most risk for developing heart failure?
Correct!
A 45-year-old male with a history of uncontrolled hypertension, diabetes, and CAD.
A 65-year-old female with a pulmonary embolus.
A 35-year-old male with prediabetes.
A 45-year-old male with a history of gout.
The 45-year-old male with a history of uncontrolled hypertension, diabetes, and CAD has the greatest risk
for developing heart failure. All of his comorbid conditions are risk factors for heart failure. Prediabetes,
pulmonary embolus, and gout are not risk factors for heart failure.
Question 2
pts
At which age, after birth, is pulmonary resistance equal to that of an adult?
You Answered
1.5 years
Correct Answer
8 weeks
6 months
4 weeks
At 2 months of age pulmonary resistance is equal to that of an adult.
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, Question 3
pts
A 74-year-old female presents to the emergency department after having a syncopal
episode. On examination the patient is noted to have a systolic murmur at the second
intercostal space, right of the sternal border which radiates to the neck. Which of the
following is the most likely cause of the syncope?
Angina
Correct Answer
Aortic Stenosis
Mitral Regurgitation
You Answered
Aortic Regurgitation
The clinical scenario is consistent with an aortic stenosis. Aortic stenosis is more
common in females and the elderly. An aortic stenosis causes a decrease in cerebral
perfusion which may result in syncope. Systolic murmurs, heard at the second
intercostal space right of the sternal border which radiate to the neck originate from the
aortic valve. Systolic murmurs which radiate to the axilla originate from the mitral valve.
A valve which has regurgitation allows some blood to flow back through the valve during
the cardiac cycle. Perfusion is not typically an issue with valvular regurgitation. There is
no mention of chest pain; therefore, the syncope is not related to angina.
Question 4
pts
Which set of clinical manifestations are consistent with right sided heart failure?
Pulmonary edema, Hypoxia and MAP of 70mmHg
Correct!
Jugular Vein Distention, Peripheral Edema and Right Atrial Hypertrophy
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