PANCE Blueprint Pulmonary Circulation (PEARLS): Cor
pulmonale, Pulmonary embolism, Pulmonary
hypertension (Smarty PANCE) UPDATED ACTUAL Question
and CORRECT Answers
Right ventricular failure secondary to pulmonary Cor pulmonale
hypertension?
Pulmonary artery pressure >20 mmHg? Pulmonary hypertension
What is the most likely Diagnosis? 1 week post partum Pulmonary embolism
has syncopal episode and is now tachycardic and
short of breath?
What is the most likely diagnosis? A 65-year-old man Cor pulmonale
presents with a chronic productive cough, dyspnea,
and wheezing. Examination reveals cyanosis,
distended neck veins, and a prominent epigastric
pulsation
WHO Class 4 pulmonary HTN cause? Pulmonary embolism
WHO Class 5 pulmonary HTN cause? Sarcoidosis
WHO Class 3 pulmonary HTN cause? COPD
, WHO Class 1 pulmonary HTN causes? - Ventricular septal defect
- Atrial septal defect
- Patent ductus arteriosus
WHO Class 2 pulmonary HTN causes? - Mitral stenosis
- Aortic stenosis
- Left ventricular hypertrophy
- Left heart failure
Patients with Virchow's triad have an increased risk for Patients with Virchow's triad have an increased risk for pulmonary embolism
what pulmonary disorder?
Gold standard test used to diagnose Pulmonary HTN? Right heart cardiac catheterization
What is the Dx? Young healthy female smoker on oral Pulmonary embolus
contraception with acute chest pain and SOB?
Initial treatment for pulmonary embolism? Heparin
A DVT in what location is the most common source of Lower extremity above the knee
pulmonary embolism?
What is cor pulmonale? Right ventricular hypertrophy with eventual RV failure resulting from
pulmonary HTN, secondary to pulmonary disease.
In cor pulmonale what is seen on In cor pulmonale, electrocardiography shows right axis deviation
electrocardiography?
What is the most common cause of isolated right heart The most common cause of isolated right heart failure is increased pulmonary
failure? vascular resistance?
What is heard on auscultation in the early stages of cor In the early stages of cor pulmonale, splitting of the second heart sound and
pulmonale? accentuation of the pulmonic component can be heard
What is the most common cause of cor pulmonale? Chronic obstructive pulmonary disease is the most common cause of cor
pulmonale. Approximately 30% of patients with chronic obstructive pulmonary
disease will develop Cor pulmonale
What is the gold standard diagnostic test to directly The gold standard diagnostic test to directly measure pulmonary pressures and
measure pulmonary pressures and assess for response assess for response to vasodilating medications is a right heart catheterization.
to vasodilating medications?
pulmonale, Pulmonary embolism, Pulmonary
hypertension (Smarty PANCE) UPDATED ACTUAL Question
and CORRECT Answers
Right ventricular failure secondary to pulmonary Cor pulmonale
hypertension?
Pulmonary artery pressure >20 mmHg? Pulmonary hypertension
What is the most likely Diagnosis? 1 week post partum Pulmonary embolism
has syncopal episode and is now tachycardic and
short of breath?
What is the most likely diagnosis? A 65-year-old man Cor pulmonale
presents with a chronic productive cough, dyspnea,
and wheezing. Examination reveals cyanosis,
distended neck veins, and a prominent epigastric
pulsation
WHO Class 4 pulmonary HTN cause? Pulmonary embolism
WHO Class 5 pulmonary HTN cause? Sarcoidosis
WHO Class 3 pulmonary HTN cause? COPD
, WHO Class 1 pulmonary HTN causes? - Ventricular septal defect
- Atrial septal defect
- Patent ductus arteriosus
WHO Class 2 pulmonary HTN causes? - Mitral stenosis
- Aortic stenosis
- Left ventricular hypertrophy
- Left heart failure
Patients with Virchow's triad have an increased risk for Patients with Virchow's triad have an increased risk for pulmonary embolism
what pulmonary disorder?
Gold standard test used to diagnose Pulmonary HTN? Right heart cardiac catheterization
What is the Dx? Young healthy female smoker on oral Pulmonary embolus
contraception with acute chest pain and SOB?
Initial treatment for pulmonary embolism? Heparin
A DVT in what location is the most common source of Lower extremity above the knee
pulmonary embolism?
What is cor pulmonale? Right ventricular hypertrophy with eventual RV failure resulting from
pulmonary HTN, secondary to pulmonary disease.
In cor pulmonale what is seen on In cor pulmonale, electrocardiography shows right axis deviation
electrocardiography?
What is the most common cause of isolated right heart The most common cause of isolated right heart failure is increased pulmonary
failure? vascular resistance?
What is heard on auscultation in the early stages of cor In the early stages of cor pulmonale, splitting of the second heart sound and
pulmonale? accentuation of the pulmonic component can be heard
What is the most common cause of cor pulmonale? Chronic obstructive pulmonary disease is the most common cause of cor
pulmonale. Approximately 30% of patients with chronic obstructive pulmonary
disease will develop Cor pulmonale
What is the gold standard diagnostic test to directly The gold standard diagnostic test to directly measure pulmonary pressures and
measure pulmonary pressures and assess for response assess for response to vasodilating medications is a right heart catheterization.
to vasodilating medications?
