Pulmonary hypertension Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 34-year-old woman presents to the primary care clinic with persistent and progressive shortness of breath over the past few months. Previous chest imaging did not show any abnormalities, and pulmonary function tests, including a methacholine challenge test, were within normal limits. She reports increased fatigue as well. There is no associated chest pain at rest or lightheadedness. She has been experiencing pain and color changes in her fingers when they are exposed to the cold and reflux symptoms for the past 6 months. She does not take any medication. Vital signs are within normal limits. On physical examination, the patient is well-appearing. There is a loud P2 sound on cardiac auscultation. Transthoracic echocardiogram reveals a markedly elevated estimated mean pulmonary artery pressureWhich of the following additional findings is most likely to be present? 

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