Physician Assistant Board Review Questions of the Week – Congestive Heart Failure

Adam WandermanPA Question of the Week, Personal Education, Question of the Week

Med-Challenger, Board Review Practice Question, Question of the Week, Quick Quiz

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This week’s case-based question:

A 56-year-old-man with chronic obstructive pulmonary disease (COPD), type 2 diabetes, and well-controlled hypertension presents with fatigue, weakness, shortness of breath, and increasing lower extremity edema over the past 2 weeks.

On physical examination, temperature is 37 °C (98 °F), blood pressure is 122/75 mm Hg, heart rate 88 beats/min, respiration rate is 18 breaths/min, and oxygen saturation is 90% on room air.

A chest X-ray is shown below:

Which if the following has the highest sensitivity for obtaining the correct diagnosis?

Answer Options

chest X-ray
exam revealing an S3 gallop
brain natriuretic peptide (BNP)

And the answer is …

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