Valvular Heart Disease USMLE Step 1 Practice Question
A 28-year-old woman who is 7 months pregnant presents with orthopnea and paroxysmal nocturnal dyspnea. Vital signs show BP 145/92 mmHg, HR 108/min, RR 22/min, SpO2 92% on room air. Examination reveals a pansystolic murmur at the apex radiating to the axilla that decreases with handgrip maneuver. Chest X-ray shows pulmonary edema. She denies recent fever or intravenous drug use. Which of the following is the most likely diagnosis?
Answer choices
- AAortic stenosis
- BPulmonary embolism
- CPeripartum cardiomyopathy
- DMitral stenosis
- EMitral regurgitationCorrect answer
- FTricuspid regurgitation
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