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Medicine General de7fa3b4

Which of the following is not a major Framingham criteria in CHF:

A
Cardiomegaly
B
Paroxysmal nocturnal dyspnea
C
S3 gallop
D
Hepatomegaly
High-Yield Explanation
Answer is D (Hepatomegaly) The Framingham Hea Study Criteria: Major Criteria Minor Criteria * Paroxysmal nocturnal dyspnea * Ankle edema * Neck vein distension * Night cough * Rates * Hepatomegaly * Cardiomegaly * Pleural effusion * Acute pulmonary edema * Vital capacity reduced by one third from predicted * S3 gallop * Tachycardia (? 120) * Increased venous pressure (> 16 cm) * Circulation time > 25s * Hepatojugular reflux positive Major or minor criterion * Weight loss of more than 4.5 kg over 5 days in response to treatment Definite CHF * Two major criteria or one major and two minor criteria.

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