Correct!
4. Diuresis for congestive heart failure

The patient’s physical examination and chest x-ray are much the same as they did on his first admission although the interstitial markings are more prominent. His presentation and chest x-ray do not suggest pneumonia or an exacerbation of his COPD. His prostate cancer appears to be progressing but metastatic prostate cancer to the lungs is rare. His SpO2 is adequate and increasing his oxygen administration is unlikely to be beneficial.

Furosemide was again administered but three days later the patient was not clinically changed.

Which of the following is appropriate? (Click on the correct answer to proceed to the fourth of six pages)

  1. Repeat his PSA
  2. Switch diuretics to bumetanide
  3. Thoracic CT scan
  4. 1 and 3
  5. All of the above

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