This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Anaesthesia
Which of the following signs of congestive cardiac failure constitute a major risk to the surgical patient undergoing anaesthesia ? 
Select and explain. 
A. Jugular venous distention and third heart sound, B. Cardiomegaly, C. Pedal oedema, D. Basal crepitations on auscultation
A: Jugular venous distention and third heart sound
Answer: A: Jugular venous distention and third heart sound 
Explanation: Higher perioperative risk is seen with :- Systemic hypertension, elevated jugular venous pressure, pulmonary rales, the presence of third heart sound, murmurs suggestive of significant valvular disease, and vascular bruits.