Heart Failure USMLE Step 1 Practice Question
A 72 year old man comes to the clinic because of exertional chest pain and several episodes of lightheadedness while climbing stairs. He has a history of hyperlipidemia and hypertension. Physical examination shows a harsh crescendo decrescendo systolic murmur best heard at the right second intercostal space with radiation to the carotids. His carotid upstroke is delayed and diminished. Which of the following is the most likely diagnosis?
Answer choices
- AVentricular septal defect
- BAortic stenosisCorrect answer
- CHypertrophic cardiomyopathy
- DMitral valve prolapse
- EMitral regurgitation
- FPulmonary stenosis
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