A 65-year-old man presents to the Emergency Department with exertional syncope and progressive shortness of breath. Clinical examination reveals fine crackles at both lung bases an... A 65-year-old man presents to the Emergency Department with exertional syncope and progressive shortness of breath. Clinical examination reveals fine crackles at both lung bases and mid-systolic murmur at the right upper sternal border that radiates to carotids. Chest radiography demonstrated clear evidence of pulmonary edema. Which of the following statements about the assessment and diagnosis is the most accurate? A. The murmur will be augmented by standing position B. The main treatment for symptomatic patient is diuretics C. Electrocardiogram (ECG) will show right bundle branch block (RBBB) D. Presence of symptoms of congestive heart failure are poor prognosis
Understand the Problem
The question describes a clinical scenario involving a 65-year-old man with specific symptoms and asks which statement about his assessment and diagnosis is the most accurate. It focuses on understanding the interpretations of clinical findings in relation to respiratory and cardiac health.
Answer
D. Presence of symptoms of congestive heart failure are poor prognosis.
The final answer is D. Presence of symptoms of congestive heart failure are poor prognosis.
Answer for screen readers
The final answer is D. Presence of symptoms of congestive heart failure are poor prognosis.
More Information
Aortic stenosis can lead to heart failure. When symptoms like exertional syncope and pulmonary edema appear, it suggests a severe condition with poorer prognosis.
Tips
A common mistake is assuming diuretics are the main treatment without addressing the underlying valve issue in aortic stenosis.
AI-generated content may contain errors. Please verify critical information
