Hypertensive pulmonary oedema — ACEM Fellowship MCQ
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Correct answer: D — Acute pulmonary oedema with hypertension
Explanation lettering: E = shown as A · C = shown as B · A = shown as C · B = shown as E
D is correct. Acute pulmonary oedema with severe hypertension, diffuse crackles and pink frothy sputum is acute cardiogenic pulmonary oedema with hypertensive emergency. The alternatives do not fit the combination of diffuse oedema and profound hypertension.
Reference: Australian Prescriber: Diuretics in the management of chronic heart failure: https://australianprescriber.tg.org.au/articles/diuretics-in-the-management-of-chronic-heart-failure-when-and-how.html