Author Question: A patient with pulmonary hypertension may display which of the following clinical manifestations? ... (Read 108 times)

vicky · **on:** Jun 25, 2018

A patient with pulmonary hypertension may display which of the following clinical manifestations? Select all that apply.

A)
Shortness of breath
B)
Decreased exercise tolerance
C)
Nasal flaring
D)
Grunting on expiration
E)
Swelling (edema) of the legs and feet

Question 2

A 3-year-old child with right-sided heart failure has been admitted for worsening of his condition. Which of the following assessments would be considered one of the earliest signs of systemic venous congestion in this toddler?

A)
Breathlessness with activity
B)
Excessive crying
C)
Enlargement of the liver
D)
Increased urine output

brittrenee · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A, B, E

Feedback:

Symptoms of PAH typically progress from shortness of breath and decreasing exercise tolerance to right heart failure, with marked peripheral edema and functional limitations. Other common symptoms include fatigue, angina, and syncope (fainting) or near-syncope. Nasal flaring and expiratory grunting are usually seen in infants experiencing respiratory distress.

Answer to Question 2

Ans:
C

Feedback:

With RV function impaired, systemic venous congestion develops. Hepatomegaly due to liver congestion often is one of the first signs on systemic venous congestion in infants and children.