skip to main content

Pulmonary hypertension crisis — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardPulmonary emergenciesPulmonary hypertension crisisABEM Board

A 38-year-old woman with known pulmonary arterial hypertension arrives with syncope and dyspnea. Triage acuity is ESI 1; BP 84/52 mm Hg, HR 126/min, SpO2 88%. She has JVD, clear lungs, and a loud P2. Bedside echo shows severe RV dilation and septal bowing. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Support oxygenation and perfusion while continuing pulmonary vasodilator therapy

Pulmonary hypertension crisis requires oxygenation, vasopressor support as needed, and continuation of pulmonary vasodilators to prevent RV collapse.

Reference: ACC pulmonary hypertension guidance; emergency critical care references