11-06-2006, 06:50 PM
Physical examination reveals jugular venous disten-
tion in the neck of a 50-year-old male, even when he is
sitting up. He also has an enlarged and tender liver that
can be felt 10 cm below the right costal margin. Pitting
edema is observed on his lower extremities. A chest radio-
graph reveals large pleural effusions. Thoracentesis on the
right yields 500 mL of clear fluid with few cells. The most
likely cause of this clinical picture is
(D (A) Tricuspid valve stenosis
(D (B) Acute myocardial infarction
(D © Puhnonary valve stenosis
(D (D) Chronic obstructive lung disease
(D (E) Primary pulmonary hypertension
tion in the neck of a 50-year-old male, even when he is
sitting up. He also has an enlarged and tender liver that
can be felt 10 cm below the right costal margin. Pitting
edema is observed on his lower extremities. A chest radio-
graph reveals large pleural effusions. Thoracentesis on the
right yields 500 mL of clear fluid with few cells. The most
likely cause of this clinical picture is
(D (A) Tricuspid valve stenosis
(D (B) Acute myocardial infarction
(D © Puhnonary valve stenosis
(D (D) Chronic obstructive lung disease
(D (E) Primary pulmonary hypertension