Coronary Artery Disease USMLE Step 1 Practice Question
A 68 year old man with a 45 pack year smoking history has progressive dyspnea, chronic productive cough, and bilateral leg swelling. Physical examination shows elevated jugular venous pressure, a right ventricular heave, hepatomegaly, and peripheral edema. Lung examination reveals diffuse wheezes. Which of the following is the most likely cause of this patient's edema?
Answer choices
- ARight ventricular failure due to pulmonary hypertensionCorrect answer
- BTricuspid valve vegetation from intravenous drug use
- CPrimary left ventricular systolic failure
- DAcute mitral valve rupture
- EConstrictive pericarditis after viral infection
- FNephrotic syndrome from smoking-related glomerulonephritis
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