Author Question: When an examiner presses on the liver and elicits hepato-jugular reflux, which of the following ... (Read 49 times)

V@ndy87 · **on:** Jun 25, 2018

When an examiner presses on the liver and elicits hepato-jugular reflux, which of the following conditions is likely?

A. Left ventricular failure
B. Right ventricular failure
C. Hepatomegaly
D. Pulmonary edema

Question 2

The target body mass index for women is:

A. 27 kg/m2
B. 25 kg/m2
C. 22 kg/m2
D. 16 kg/m2

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

Answer to Question 1

ANS: B
In right ventricular failure, the abdomen should be examined particularly for right upper quadrant discomfort related to hepatic congestion and enlargement. The examiner can also check for hepatic jugular reflux by placing sustained pressure on the liver while observing for jugular venous distention. In right HF, ascites may also be present. Examine the extremities for edema seen in right HF.

Answer to Question 2

ANS: C
Weight loss through diet and exercise has been found to be the most important factor in the prevention of the progression of metabolic syndrome. Insulin sensitivity increases with weight loss and is thought to be due to the loss of visceral fat. The target BMI is less than 22 kg/m2 for women and less than 27 kg/m2 for men. BMI of 16 kg/m2 is considered too low.