harsh systolic ejection murmur at the base that radiates to

Discussion in 'USMLE STEP 2 CS' started by Shabir., Jul 28, 2008.

  1. Shabir.

    Shabir. Guest

    A 55-year-old man develops shortness of breath. Exam shows a harsh systolic ejection murmur at the base that radiates to the neck. ECG shows evidence of prominent left ventricular hypertrophy. Which of the following cardiac abnormalities is most likely?

    A) Aortic dissection
    B) Bicuspid aortic valve
    C) Mitral insufficiency
    D) Mitral stenosis
    E) Tricuspid insufficiency
  2. gvbel

    gvbel Guest

    Systolic murmur, only in: Aortic Stenosis and Mitral Insuf.
    so, your answer is Mitral insuf.
  3. mamainax2

    mamainax2 Guest

    that was wat I thought but I did it wrong!!!!

    Any suggestion?
  4. Guest4

    Guest4 Guest

    B. Biscupid Aortic Valve.

    A Congenitally bicupsid aortic valve will produce aortic stenosis. Additionally, the murmur, which is best heard at the base and radiating to the neck, is classic for AS. A mitral insufficiency murmur will be systolic, yes, but it will classically be best heard at the apex radiating to the axilla with a holosystolic quality.

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