cms surgery 8 question 12

**correction, surgery cms form 7, not 8.

how do you differentiate mi vs congestive heart failure?

the man undergoes surgery, history of coronary artery disease. he's hemodynamically unstable with JVD, expiratory wheezes at both lung bases.

wouldn't this picture lead us to think more of an acute MI causing cardiogenic shock from surgery rather than a congestive heart failure?

P.S. NBME's ruin my mood with these dumb vague questions