Which of the following symptoms is indicative of right-sided heart failure?

Crackles

Orthopnea

Jugular venous distention

Blood-tinged sputum

Answer and Explanation

The Correct Answer is C

Choice A reason: Crackles indicate pulmonary edema from left-sided heart failure, where fluid backs up into lungs, not right-sided failure, which affects systemic circulation instead.

Choice B reason: Orthopnea, dyspnea when lying flat, results from left-sided failure’s pulmonary congestion, not right-sided failure, which causes systemic venous pooling, not lung issues.

Choice C reason: Jugular venous distention occurs in right-sided heart failure as the right ventricle fails, backing blood into veins, elevating neck vein pressure visibly.

Choice D reason: Blood-tinged sputum suggests pulmonary edema or infarction, tied to left-sided failure or embolism, not right-sided failure’s systemic congestion pattern.

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Correct Answer is D

Explanation

Choice A reason: Epigastric fullness may suggest variceal pressure, but combativeness isn’t typical early bleeding; it’s more neurological, not a direct blood loss sign.

Choice B reason: Yellow sclera and hypoalbuminemia reflect liver dysfunction, not acute bleeding; hypertension contradicts blood loss, which lowers pressure initially.

Choice C reason: Bradycardia and lethargy occur late in severe hypovolemia, not early; hypotension fits bleeding but isn’t paired with early compensatory signs here.

Choice D reason: Tachycardia compensates for early blood loss in varices, restlessness reflects hypoxia, and pallor shows reduced perfusion, all classic initial bleeding indicators.

A. It is important that I take my levothyroxine daily to help manage my hyperthyroidism B. I should avoid foods like kale, cabbage, Brussel sprouts, and cauliflower C. Methimazole will decrease my T3 and T4 levels D. Iodine will prevent the thyroid hormone from being released into the bloodstream

Correct Answer is A

Explanation

Choice A reason: Levothyroxine treats hypothyroidism by adding T4, worsening hyperthyroidism’s excess hormone; antithyroid drugs are needed, so this statement is incorrect.

Choice B reason: Avoiding goitrogens (kale, cabbage) prevents thyroid suppression, appropriate in hyperthyroidism where reducing hormone production is the goal, so this is correct.

Choice C reason: Methimazole inhibits thyroid hormone synthesis, lowering T3 and T4 in hyperthyroidism, a standard treatment, making this statement accurate.

Choice D reason: Iodine blocks thyroid hormone release, reducing circulating T3/T4 in hyperthyroidism, a correct approach, especially in acute settings, so this is valid.

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Which of the following symptoms is indicative of right-sided heart failure?

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Naxlex Comprehensive Predictor Exams

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