7-year Interstitial Lung Disease in Medicine / Internal Medicine — 55yo Woman | Cardiology | SMLE Q#17631
SMLE Question #17631
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 55-year-old woman with a 7-year history of interstitial lung disease has 6 months of progressive exertional dyspnea and new bilateral ankle swelling. She denies chest pain and fever. Examination shows elevated JVP, a left parasternal heave, pulsatile hepatomegaly, and a loud P2. Which additional finding is most expected on cardiac auscultation?
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