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A 54-Year-Old Man Comes to the Emergency Department Due to Severe

question 425

Multiple Choice

A 54-year-old man comes to the emergency department due to severe fatigue and dyspnea. He has a long history of progressively worsening heart failure that has been resistant to treatment with medications, including diuretics. He was treated with chest radiation 10 years ago for non-Hodgkin lymphoma and has been in remission since then. The patient is admitted to the hospital, but his condition continues to deteriorate despite aggressive therapy. He dies 3 days later, and an autopsy is performed. Gross inspection of the heart shows dense, thick, fibrous tissue in the pericardial space between the visceral and parietal pericardium. Which of the following signs would most likely have been detected during a physical examination of this patient just prior to his death?

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Definitions:

Truth Table

A mathematical table used in logic to determine whether a compound statement is true or false, depending on the truth values of its components.

Modus Tollens (MT)

A form of logical argument that concludes the inverse of an antecedent from the negation of its consequent in a conditional statement.

Modus Ponens (MP)

A logical reasoning pattern that asserts if a given premise is true, then the consequent logically follows; structured as "If P, then Q. P, therefore Q."

Modus Tollens (MT)

A form of logical argument where the antecedent is denied after deriving an absurdity or contradiction from its assumption, typically structured as "If P, then Q. Not Q, therefore not P."