Valvular Heart Disease USMLE Step 1 Practice Question
A 52-year-old man with chronic atrial fibrillation and rheumatic heart disease presents with dyspnea and new onset hemoptysis. Examination reveals an opening snap, loud S1, and diastolic murmur at the apex. Chest X-ray shows pulmonary edema with Kerley B lines. Which valve lesion is most likely the cause of his hemoptysis?
Answer choices
- AMitral regurgitation causing left atrial enlargement
- BAortic regurgitation causing pulmonary edema
- CTricuspid stenosis causing right heart failure
- DMitral stenosis causing pulmonary venous hypertensionCorrect answer
- EPulmonary stenosis causing pulmonary hypertension
- FAortic stenosis causing left ventricular hypertrophy
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