A 65-year-old man with COPD and hypertension presents with a 2-week history of progressive lower extremity oedema and abdominal distension. Examinatio...

Question

A 65-year-old man with COPD and hypertension presents with a 2-week history of progressive lower extremity oedema and abdominal distension. Examination reveals elevated JVP, hepatomegaly and bilateral pitting oedema. ECG shows atrial fibrillation. What is the most likely cause of his symptoms?

Accepted Answer

Right-sided heart failure due to pulmonary hypertension and atrial fibrillation.

Answer

Left-sided heart failure only.

Answer

Nephrotic syndrome.

Answer

Primary liver cirrhosis.

Answer

Venous insufficiency.

ca-mccqe1 MCQ (SBA): Right-sided heart failure

A 65-year-old man with COPD and hypertension presents with a 2-week history of progressive lower extremity oedema and abdominal distension. Examination reveals elevated JVP, hepatomegaly and bilateral pitting oedema. ECG shows atrial fibrillation. What is the most likely cause of his symptoms?