Year Woman Presents Assignment Help: How to Answer This Question

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Original Question

52-year-old woman presents to the preoperative clinic for evaluation prior to a planned elective hysterectomy for uterine fibroids. Her BMI is 42 kg/m?. She has not seen a primary care physician in over 10 years. Her blood pressure is 174/99 mmHg. Repeat blood pressure is 181/101 mmg. After walking up one flight of stairs she reports severe dyspnea and substernal chest pain. She denies paroxysmal nocturnal dyspnea and she sleeps on one pillow. Auscultation of the heart reveals regular rate and rhythm with no murmurs, rubs or gallops. Her lungs are clear to auscultation. No lower extremity edema is noted. An EKG shows sinus rhythm at 88 beats/min with left ventricular hypertrophy. Which of the following would be the next best step in evaluation of this patient? (A) Cardiac catheterization (B) Cardiac stress test Echocardiogram (D) Pulmonary function tests (E) No further testing needed

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