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ACP InternistMKSAP Quiz: 4-Month History of Progressive Exertional Dyspnea

A 57-year-old woman is evaluated for a 4-month history of progressive exertional
dyspnea and occasional chest pain and palpitations. She has limited cutaneous
systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux
disease. Click to see the physical and lab results and see if you can choose the best
next step.

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