Valvular Heart Disease USMLE Step 1 Practice Question
A 68-year-old man with a 40-pack-year smoking history and chronic obstructive pulmonary disease presents with progressive dyspnea, orthopnea, and peripheral edema over 3 months. Physical examination reveals a loud, single S2 and a right ventricular heave. Chest radiograph shows enlarged right atrium and right ventricle. Which of the following is the most likely diagnosis?
Answer choices
- AAortic regurgitation
- BPulmonary hypertension with secondary tricuspid regurgitationCorrect answer
- CPulmonary stenosis
- DPrimary mitral stenosis
- ERheumatic tricuspid stenosis
- FLeft ventricular hypertrophy with systolic dysfunction
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