A 77-year-old man with hypertension and type 2 diabetes has raised JVP, bilateral basal crackles and pedal oedema. What is the initial diagnostic test?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: C. Echocardiogram
Raised JVP, basal crackles and pedal oedema suggest heart failure. Transthoracic echocardiography is the initial test of choice whenever CHF is suspected: it gives the EF and distinguishes systolic from diastolic dysfunction.
- A chest X-ray is supportive but nonspecific; stress testing and cardiac MRI are not first-line for diagnosing HF.
ليش كل خيار صح أو غلط
-
A
ليش غلط
A stress test identifies ischemia and/or infarction and assesses conditioning and dynamic HR/BP responses; it is not the test to diagnose heart failure.
✓ Step-Up To Medicine 6th (HF).pdf · p. 6 -
B
ليش غلط
A chest X-ray is listed as an additional test: nonspecific, useful for chamber enlargement and IHD. Echocardiography is the main diagnostic test.
✓ (Y4)-(M B) HF.pdf · p. 4 -
C
ليش صح
Transthoracic echocardiography is the initial test of choice whenever CHF is suspected; it separates systolic from diastolic dysfunction and shows chamber size and valves.
✓ Step-Up To Medicine 6th (HF).pdf · p. 6 -
D
ليش غلط
Cardiac MRI is a specialised test for cardiomyopathies or infiltrative disease (e.g., amyloidosis), not the initial test for suspected heart failure.
✓ HF summary.pdf · p. 3
- المصدر
- Step-Up To Medicine 6th (HF).pdf · p. 6
(Y4)-(M B) HF.pdf · p. 4 - المحاضرة
- Heart Failure · Cardiology · Module B
- ظهر في
- MED42 Compre B