Physician Assistant National Certifying Exam (PANCE)

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A 67-year-old woman with hypertension presents with dyspnea on exertion, orthopnea, and lower extremity edema. On examination, an S3 gallop is heard. Which of the following is the most likely diagnosis?

Chronic obstructive pulmonary disease Congestive heart failure Pulmonary embolism Acute coronary syndrome

Correct Answer:

Congestive heart failure

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