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General Medicine · Cardiology
Sample itemWhich finding is most consistent with left-sided heart failure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Breathlessness with pulmonary crackles
Left-sided heart failure elevates pulmonary venous pressure and commonly produces dyspnoea, orthopnoea, and bibasal pulmonary crackles.
Option by option
A. Breathlessness with pulmonary crackles (correct)
Correct: pulmonary congestion produces this respiratory pattern.
B. Isolated jaundice
Jaundice is not the typical primary presentation.
C. Painful swollen knee only
A single swollen knee suggests local joint disease.
D. Unilateral facial weakness
Facial weakness suggests a neurological disorder.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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