Chronic Heart Failure To in Medicine / Internal Medicine — 71yo Man | Cardiology | SMLE Q#1053
SMLE Question #1053
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 71-year-old man with chronic heart failure presents to the emergency department with 2 days of worsening dyspnea. He reports orthopnea, paroxysmal nocturnal dyspnea, increasing leg swelling, and abdominal distension. Examination shows elevated jugular venous pressure, bilateral basal crackles, tender hepatomegaly, and pitting pedal edema. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.