A 58-year-old female presents with exertional dyspnea, non-productive cough, and fatigue. Auscultation of the chest reveals basilar rales and gallops. Chest X-ray reveals cardiomegaly, bilateral pleural effusions, and perivascular edema. Based on the patient’s presentation, physical exam, and test results, which of the following is the most likely diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 58-year-old female presents with exertional dyspnea, non-productive cough, and fatigue. Auscultation of the chest reveals basilar rales and gallops. Chest X-ray reveals cardiomegaly, bilateral pleural effusions, and perivascular edema. Based on the patient’s presentation, physical exam, and test results, which of the following is the most likely diagnosis?






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