Solved

A 38-Year-Old Woman Comes to the Physician with Progressive Exertional

question 533

Multiple Choice

A 38-year-old woman comes to the physician with progressive exertional shortness of breath over the last 6 months. She thinks it began with a cold followed by a cough that eventually subsided. However, the shortness of breath has persisted. The patient can barely walk 2 blocks on level ground without becoming short of breath. She has a 15-pack-year smoking history.
Her blood pressure is 142/78 mm Hg, pulse is 90/min, and oxygen saturation is 94% on room air. Her BMI is 27 kg/m². Cardiac examination reveals a 2/6 holosystolic murmur at the lower sternal border that increases with inspiration. Lungs are clear to auscultation. There is trace bilateral lower-extremity edema.
Pulmonary function test results are as follows:

Which of the following is the most likely diagnosis?

Comprehend the task-based approaches to studying cognitive development in adolescents.

Understand the concept of epistemic development and changes in knowledge reasoning.

Grasp the role and impact of problem-solving strategies on thought processes during adolescence.

Recognize the implications of multitasking on learning and attention.

Definitions:

Involuntarily Hospitalized

The act of admitting an individual to a healthcare facility without their consent, typically because they are deemed a threat to themselves or others.

Self-administer Medication

The practice of individuals taking medication independently, without direct supervision by healthcare professionals.

Civil Rights Movement

A landmark social and political movement in the United States that sought to end racial segregation and discrimination against African Americans.

Civil Commitment

A legal process through which an individual with severe mental illness can be court-ordered into treatment or care.