Valvular Heart Disease USMLE Step 1 Practice Question
A 68-year-old woman with a history of infective endocarditis 10 years ago now presents with progressive dyspnea and a wide pulse pressure. On examination, she has a water-hammer pulse, Quincke pulses, and a high-pitched blowing diastolic murmur heard best along the left sternal border while leaning forward. Which of the following is the most likely diagnosis?
Answer choices
- AAcute aortic regurgitation
- BMitral stenosis
- CChronic aortic regurgitationCorrect answer
- DAortic stenosis
- EPulmonary regurgitation
- FMitral stenosis from rheumatic scarring following prior infective endocarditis
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