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Exam questionKROK 2Medicine ยท 2013

A 58-year-old patient complains of a headache in the occipital region, nausea, choking, opplotentes. The presentations appeared after a physical exertion. Objectively: the patient is excited. Face is hyperemic. Skin is pale. Heart sounds are regular, the 2nd aortic sound is accentuated. AP- 240/120 mm Hg, HR- 92/min. Auscultation reveals some fine moisr rales in the lower parts of the lungs. Liver is not enlarged. ECG shows signs of hypertrophy and left ventricular overload. What is the most likely diagnosis?

Answer options

  1. Acute myocardial infarction, pulmonary edema
  2. Complicated hypertensic crisis
  3. Community-acquired pneumonia
  4. Uncomplicated hypertensic crisis
  5. Bronchial asthma exacerbation
Correct answer

Complicated hypertensic crisis

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