Passing score for this post test is 70%. You may retake the test as many times as you need until you reach a passing score. This Session will not be marked “complete” until the post test has been passed successfully.
Use this patient case to answer questions 1-3:
You have a patient who has been experiencing worsening shortness of breath, bilateral edema in both legs, and an increase in his weight of about 10 pounds over the last 1-2 weeks. You have not seen him in 2 years. There is no known history of HTN, DM, or CAD. He has hyperlipidemia (last LDL 151mg/dL) but he doesn’t take any medications (the Rx “ran out”). His BMI is 33. No history of lung disease is noted. On physical exam you note 2+ pitting edema, elevated JVP and rales. Vitals are stable (146/89; HR 85 and regular) with RA saturation of 94% without accessory muscle use. You pursue further workup with chest x-ray, echocardiogram, and labs to determine the cause of his symptoms. You suggest a one-week follow-up for BP reck and to discuss lab findings.