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Aortic stenosis — ABFM Board MCQ

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ModerateCardiovascularAortic stenosisABFM Board

A 72-year-old man reports exertional lightheadedness and chest pressure. Examination reveals a harsh crescendo-decrescendo systolic murmur at the right upper sternal border radiating to the carotids. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Order transthoracic echocardiography

Symptoms and examination suggest aortic stenosis; transthoracic echocardiography confirms severity and guides referral.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html