Question

A 68-year-old man with long-standing smoking history and COPD presents with increasing ankle swelling and exertional dyspnoea. Examination reveals elevated JVP, hepatomegaly and peripheral oedema. Chest auscultation shows wheeze but clear lung fields. What is the most likely diagnosis?

Accepted Answer

Cor pulmonale

Answer

Left ventricular failure

Answer

Pulmonary embolism

Answer

Nephrotic syndrome

Answer

Deep vein thrombosis

Practice question

A 68-year-old man with long-standing smoking history and COPD presents with increasing ankle swelling and exertional dyspnoea. Examination reveals elevated JVP, hepatomegaly and peripheral oedema. Chest auscultation shows wheeze but clear lung fields. What is the most likely diagnosis?