Pulmonary Hypertension, Cor Pulmonale, And Miscellaneous Vascular Conditions

4 Questions | Total Attempts: 62

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Pulmonary Quizzes & Trivia

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Questions and Answers
  • 1. 
    A 73-year-old male patient of yours with longstanding chronic obstructive pulmonary disease presents to your office complaining of increased dyspnea, weakness, and fatigue. He has been experiencing these symptoms for the past few months. The symptoms have progressed despite adherence to his inhaler regimen. He also reports that he has been experiencing lower-extremity swelling for the past month. On examination, jugular venous distention, a right ventricular heave, and pitting lower-extremity edema are noted. These findings were not present before. You suspect that the patient has developed cor pulmonale.   Which of the following therapies is indicated for the treatment of cor pulmonale in this patient?
    • A. 

      A calcium channel blocker

    • B. 

      A prostacyclin analogue

    • C. 

      A diuretic

    • D. 

      Digitalis

  • 2. 
    A previously healthy 43-year-old woman presents to your office complaining of progressive dyspnea of 6 months' duration. After an extensive evaluation, you diagnose idiopathic pulmonary arterial hypertension (IPAH). The patient's transthoracic echocardiogram revealed right heart failure with elevated pulmonary artery pressures. Other causes of pulmonary arterial hypertension were excluded. During right heart catheterization, the patient was noted to have a marked response to inhaled nitric oxide.   Which of the following medications should be initiated for this patient?
    • A. 

      Oral diltiazem

    • B. 

      Oral bosentan

    • C. 

      Inhaled iloprost

    • D. 

      Intravenous epoprostenol

  • 3. 
    A 52-year-old man presents to your clinic complaining of progressive dyspnea, which he has been experiencing for 6 to 8 months. When he was a teenager, he underwent splenectomy after being involved in a motor vehicle accident. A few years ago, the patient had pneumonia. On examination today, results of auscultation of the patient's lungs and heart are normal. An ECG shows right ventricular hypertrophy and right atrial enlargement. A chest x-ray shows asymmetrical enlargement of the pulmonary arteries with regions of hyperperfusion and hypoperfusion.   For this patient, which of the following is the most appropriate initial test?
    • A. 

      Ventilation-perfusion lung scanning

    • B. 

      Pulmonary function testing

    • C. 

      Pulmonary angiography

    • D. 

      Transthoracic echocardiography

  • 4. 
    A 36-year-old woman presents to your office for continuing management of progressive dyspnea on exertion, which she has been experiencing for the past 4 months. A transthoracic echocardiogram demonstrates pulmonary hypertension, and a CT scan of the chest shows pulmonary fibrosis. She tells you she is currently being evaluated by a rheumatologist for arthralgias and myalgias. Her rheumatologist mentioned that her dyspnea could be caused by the same problem that is causing her arthralgias.   For this patient, which of the following connective tissue diseases is most commonly associated with pulmonary hypertension?
    • A. 

      Dermatomyositis

    • B. 

      CREST syndrome

    • C. 

      Systemic lupus erythematosus

    • D. 

      Rheumatoid arthritis