Valvular Heart Disease USMLE Step 1 Practice Question
A 34 year old man presents with progressive exertional dyspnea and reduced exercise tolerance. He has no history of rheumatic fever. Examination shows a crescendo decrescendo systolic murmur at the right upper sternal border radiating to the neck. Echocardiography shows severe aortic stenosis with only two valve cusps. Which of the following additional findings is this patient most likely to have?
Answer choices
- APulmonic valve vegetation after dental work
- BTricuspid atresia with cyanosis at birth
- CBerry aneurysm of the anterior communicating artery
- DCalcification of the mitral annulus from rheumatic fever
- EAortic coarctation or dilation of the ascending aortaCorrect answer
- FStenosis of the left main coronary artery
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