USMLE Forum Archives - USMLE Step 2 CK - cardiac
cardiac
bingousmle - 06-20-10 07:18
75-year-old man with hypertension for the last 20 years. He frequently misses medication doses, and his blood pressure is rarely well controlled. today, his blood pressure is 165/90. Which of the following would you expect on his physical exam?
A. Basilar crackles in the lung fields
B. S4 gallop and a left ventricular heave
C. S4 gallop and a right ventricular heave
D. S3 gallop and a left ventricular heave
E. Papilledema
bingousmle - 06-20-10 07:18
75-year-old man with hypertension for the last 20 years. He frequently misses medication doses, and his blood pressure is rarely well controlled. today, his blood pressure is 165/90. Which of the following would you expect on his physical exam?
A. Basilar crackles in the lung fields
B. S4 gallop and a left ventricular heave
C. S4 gallop and a right ventricular heave
D. S3 gallop and a left ventricular heave
E. Papilledema
The correct answer and explanation will be available after you answer.
Page 1
#1
Re: cardiac babbu5508 - 06-20-10 13:00 My answer is: b.
C. S4 gallop and a right ventricular heave...due to left ventricular hypertrophy as an adaptive measure for overcoming the afterload.
Page 1