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 56-year-old man presents to the emergency department due to several days of worsening shortness of breath. He reports a persistent dry cough for months but no chest pain or palpitations. The patient has severe chronic obstructive pulmonary disease (COPD) and has smoked 1 pack of cigarettes per day for the past 45 years. Temperature is 36.7 ºC (98.1 ºF), pulse is 102/min, respiratory rate is 18/min, blood pressure is 142/86 mmHg, and oxygen saturation is 85% on room air. On physical examination, the patient appears fatigued, but he is not in respiratory distress. There are no extra cardiac sounds on auscultation, and breath sounds are distant with scattered wheezes throughout. No digital clubbing is present. Laboratory studies and a chest radiograph are ordered. A bedside transthoracic echocardiogram shows right atrial enlargement and an estimated mean pulmonary artery pressure of 50 mmHg. Which of the following is the best next step in management?
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