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- Mar 19, 2015
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49. A 37 year old woman with chronic renal failure has multiple episodes of hypotension during hemodialysis. Examination shows distended neck veins, clear lung fields and distant heart sounds with no audible murmur or gallop. Echocardiography shows a large pericardial effusion. Which of the following signs is associated with the cause of hypotensive episodes?
A) Atypical systolic murmur
B) Auscultatory gap
C) Paradoxical pulse
D) S4
E) Widened pulse pressure
I marked B and that's wrong. On re-reading, I think it should be C: Paradoxical pulse. Any thoughts, jury?
A) Atypical systolic murmur
B) Auscultatory gap
C) Paradoxical pulse
D) S4
E) Widened pulse pressure
I marked B and that's wrong. On re-reading, I think it should be C: Paradoxical pulse. Any thoughts, jury?