skip to main content

Acute decompensated heart failure with hypertensive pulmonary edema — RCPSC IM MCQ

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

HardCardiologyAcute decompensated heart failure with hypertensive pulmonary edemaRCPSC IM

A 71-year-old man with known HFrEF arrives in severe respiratory distress. Blood pressure is 204/110 mmHg, respiratory rate 34/min, oxygen saturation 84%, and there are diffuse crackles. Chest radiograph shows pulmonary edema, ECG shows sinus tachycardia, and troponin is mildly elevated without ST elevation. What is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: D — Hypertensive acute pulmonary edema

Severe hypertension, diffuse crackles, pulmonary edema on chest radiograph and known HFrEF indicate hypertensive acute pulmonary edema.

Reference: CCS heart failure guidance