A 60-year-old man presents with dizziness, nausea, and severe shortness of breath of several months' duration. Physical examination shows hepatomegaly, ascites, and anasarca. His blood pressure is 200/115 mm Hg. An X-ray film of the chest demonstrates cardiomegaly and mild pulmonary edema. Although different mechanisms may have contributed to the pathogenesis of hypertension in this patient, the common end result for all of them is which of the following? (A) Arterial cystic medial necrosis (B) Decreased plasma oncotic pressure (C) Generalized vasodilation (D) Increased peripheral vascular resistance (E) Increased vascular permeability
A 60-year-old man presents with dizziness, nausea, and severe shortness of breath of several months' duration. Physical examination shows hepatomegaly, ascites, and anasarca. His blood pressure is 200/115 mm Hg. An X-ray film of the chest demonstrates cardiomegaly and mild pulmonary edema. Although different mechanisms may have contributed to the pathogenesis of hypertension in this patient, the common end result for all of them is which of the following? (A) Arterial cystic medial necrosis (B) Decreased plasma oncotic pressure (C) Generalized vasodilation (D) Increased peripheral vascular resistance (E) Increased vascular permeability
Chapter8: Have A Heart
Section: Chapter Questions
Problem 1M
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Question
A 60-year-old man presents with dizziness, nausea, and severe shortness of breath of several months' duration. Physical examination shows hepatomegaly, ascites, and anasarca. His blood pressure is 200/115 mm Hg. An X-ray film of the chest demonstrates cardiomegaly and mild pulmonary edema. Although different mechanisms may have contributed to the pathogenesis of hypertension in this patient, the common end result for all of them is which of the following?
(A) Arterial cystic medial necrosis
(B) Decreased plasma oncotic pressure
(C) Generalized vasodilation
(D) Increased peripheral vascular resistance
(E) Increased vascular permeability
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