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Exam questionKROK 2Medicine ยท 2016

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. BP- 240/120 mm Hg, HR- 92/min. Auscultation reveals some fine moist crackles in the lower lungs. Liver is not enlarged. ECG shows signs of hypertrophy and left ventricular overload. What is the most likely diagnosis?

Answer options

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

Complicated hypertensic crisis

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