PANCE Exam Practice Questions: Quiz 100 February 1, 2016 By Aamir Khan Leave a Comment A 79-year-old male with a history of hypertension, controlled with hydrochlorothiazide, and mild COPD presents with dyspnea. He states it began 2 days ago on exertion and has progressed over the last 12 hours to dyspnea at rest. Physical exam reveals 2.1 cm JVD and 2 pitting edema to the ankles. Which of the following is most likely to be found on cardiac exam? A. an ejection click B. the presence of a thrill C. a third heart sound (S3) D. a fourth heart sound (S4) Δ
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