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رجوع لأسئلة Venous Thromboembolism 15 / 24
B-325 مطابق للمصدر

Pt with signs and symptoms of pulmonary HTN, loud P2, what is the most likely diagnosis?

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الإجابة والشرح

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الإجابة: D. Pulmonary hypertension

✓ مطابق للمصدر (Y4)-(M B) HF.pdf · p. 3

A loud P2 (increased pulmonic component of S2) is the classic auscultatory sign of pulmonary hypertension, and the stem already states its signs and symptoms. Aortic stenosis, MR and constrictive pericarditis give different findings (ejection murmur, pansystolic murmur, pericardial knock).

ليش كل خيار صح أو غلط

  • A ليش غلط

    Aortic stenosis is an aortic-area systolic murmur, not a loud P2 sign of pulmonary hypertension.

    ✓ 8• Heart Sounds & Murmurs [Notes].pdf · p. 4
  • B ليش غلط

    Mitral regurgitation gives a holosystolic murmur heard at the apex, radiating to the axilla, rather than a loud P2.

    ✓ 8• Heart Sounds & Murmurs [Notes].pdf · p. 6
  • C ليش غلط

    The listed hallmark of ASD is a fixed split of S2 (shunting of blood to the right heart), which the stem does not describe; it gives a loud P2 with pulmonary hypertension signs.

    ✓ 8• Heart Sounds & Murmurs [Notes].pdf · p. 3
  • D ليش صح

    An increased pulmonic component of the second heart sound (loud P2) suggests pulmonary hypertension; here it adds to the stated signs and symptoms.

    ✓ (Y4)-(M B) HF.pdf · p. 3
  • E ليش غلط

    Constrictive pericarditis causes right heart failure findings from a rigid pericardium: Kussmaul's sign and a pericardial knock, not a loud P2.

    ✓ 7• Pericardial Diseases [Notes].pdf · p. 3
المصدر
(Y4)-(M B) HF.pdf · p. 3
المحاضرة
Venous Thromboembolism · Pulmonology · Module B
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