Certified Clinical Medical Assistant CCMA Practice Test

An MA is preparing a pt who has congestive heart failure (CHF) for an examination by the provider. Which of the following manifestations should the assistant expect?

1. Fever

2. Chest pain

3. Shortness of breath

4. Joint swelling

The correct answer is: Shortness of breath

Shortness of breath is a common manifestation of congestive heart failure (CHF) due to the heart's inability to pump blood effectively, leading to fluid buildup in the lungs. This condition often results in pulmonary congestion, making it difficult for patients to breathe, especially during physical activity or when lying flat. The experience of shortness of breath, also known as dyspnea, is one of the hallmark symptoms associated with CHF and is typically observed in patients as the condition progresses. While the other options may be relevant in certain contexts, they are not as directly indicative of CHF. For instance, while fever may suggest an underlying infection or inflammation, it is not a typical manifestation of CHF itself. Similarly, though chest pain can occur in heart conditions, it is not a primary symptom of CHF. Joint swelling may arise from various causes, including inflammatory arthritis or other systemic conditions, but is not commonly associated with congestive heart failure.