Audio Qbank – Q19 – A 72F with sleeping difficulties

 

A 72-year-old woman comes to the GP because of a 2-month history of sleeping difficulties. Se says he needs to sit up in bed in order to sleep. Her vitals are: temperature 98.6F, HR 84, RR 12, BP 120/85. Physical examination shows JVD and pedal edema. Which of the following is the most likely cause of the sleep disturbance in this patient?

↓ Pulmonary capillary hydrostatic pressure
↓ Pulmonary capillary oncotic pressure
↓ Pulmonary capillary permeability
↑ Pulmonary capillary hydrostatic pressure
↑ Pulmonary capillary oncotic pressure
↑ Pulmonary capillary permeability

 

Cut-to-the-chase Answer (0:55):
HY USMLE Answer (4:28):