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MMLU / A 62-year-old man comes to the physician because of a 2-month history of…

Problem

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question

A 62-year-old man comes to the physician because of a 2-month history of progressive fatigue and ankle swelling. He had an anterior myocardial infarction 3 years ago and has had shortness of breath with mild exertion since then. Current medications include labetalol and daily aspirin. He has smoked one-half pack of cigarettes daily for 30 years. His pulse is 100/min and regular, respirations are 20/min, and blood pressure is 130/75 mm Hg. There are jugular venous pulsations 5 cm above the sternal angle. Crackles are heard at both lung bases. Cardiac examination shows an S3 gallop. There is edema from the midtibia to the ankle bilaterally. Further evaluation of this patient is most likely to show which of the following findings?

choices

  1. Decreased pulmonary capillary wedge pressure
  2. Impaired contractility of the left ventricle
  3. Prolapse of the mitral valve
  4. Thrombosis of the superior vena cava

subject

professional_medicine

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Source and history

task_id
53099ece-da43-56a0-9085-64f5a27c2eea
task_key
all--test--53099ece-da43-56a0-9085-64f5a27c2eea
task_revision_id
1
config / split
all / test

Official source

initial import