A 65-year-old man presents with a several-month history of progressive exertional dyspnoea, orthopnoea and ankle swelling. He lives in a remote area a...

Question

A 65-year-old man presents with a several-month history of progressive exertional dyspnoea, orthopnoea and ankle swelling. He lives in a remote area and rarely sees doctors. Examination reveals elevated JVP, bibasal crackles and pitting oedema. Which of the following bedside investigations in a rural clinic would most help differentiate cardiac from non-cardiac dyspnoea?

Accepted Answer

Point-of-care B-type natriuretic peptide (BNP) level

Answer

Peak expiratory flow rate

Answer

Spirometry

Answer

Throat swab for streptococcus

Answer

Urinalysis for protein

au-amc MCQ (SBA): Heart failure diagnosis