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Retired NBME Free 120 Answers

free120/Block 1/Question#8 (reveal difficulty score)
A 37-year-old woman with right lower ...
P2 louder than A2 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—bwdc(697)
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The left-sided system is much higher pressure than the right side, hence the aortic valve closing is usually louder than the pulmonic valve. A P2 louder than A2 means that the pulmonary arterial pressure is significantly elevated.

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topgunber  other answers choices such as peripheral edema and elevated JVP are nonspecific to right heart failure. Loud s3 (ken-tuck- EYYY) are more indicative of volume overload and pulmonary crackles/edema is usually due to a left sided heart defecT with backup of fluid into the lungs. +1



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