Y6_Théra-Méd_Pr. Theng Yudalin MCQ

1. Regarding acute pulmonary edema and cardiogenic shock, which of the following statement is the most appropriate?
Acute pulmonary edema and cardiogenic shock are a medical emergency
Acute pulmonary edema and cardiogenic shock are treated at home
Acute pulmonary edema and cardiogenic shock are not life-threatening condition
The most common etiology for both is pericarditis
The both are diagnosed by ECG
2. Which of the following physical examination findings suggests acute pulmonary edema?
Lung crackles + S3 gallop
Pedal edema
Diminished heart sound
Slitting B2
Pericardial friction
3. Mrs. X-67 years old with a long history of HTN and diabetes mellitus admits to emergency department with dyspnea at rest preceded by chest pain. Her BP is 70/40mmHg with pulse of 110bpm and SaO2: 88% in room air. Physical examination finds crackles in both lungs with cold skin.ECG shows Q wave with T negative in leads DII, III and avF. Chest X-ray finds alveolar edema with left pleural effusion.Which of the following is the most likely diagnosis?
σ Cardiogenic shock caused by myocardial infarction
Hemorrhagic shock
Bronchopneumonia
Septic shock
Pleural effusion
4. The acute pulmonary edema is suspected, which of the following test is the most appropriate in diagnosis?
ECG and thoracic TDM
BNP, chest X-ray and echocardiography
CRP and abdominal echography
Cerebral TDM
Hemogram and CRP
5. What is the urgent treatment in acute pulmonary edema with systolic BP > 140mmHg
Beta blocker
Diuretic and nitrate derivatives
Antibiotic
Inotropic agents
Angiotensin converting enzyme inhibitor
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