Coronary Artery Disease USMLE Step 1 Practice Question
A 38 year old man is evaluated for exertional dyspnea. He has no history of rheumatic fever. Physical examination reveals a systolic ejection click and a harsh crescendo decrescendo murmur at the right upper sternal border radiating to the carotids. Which of the following congenital abnormalities most likely predisposed this patient to early valve calcification?
Answer choices
- APatent ductus arteriosus
- BEbstein anomaly
- CAtrial septal defect
- DPatent foramen ovale
- EBicuspid aortic valveCorrect answer
- FCoarctation of the aorta
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