A 78-year-old man has exertional syncope and dyspnea. Examination shows a late-peaking systolic ejection murmur at the right upper sternal border

Question

A 78-year-old man has exertional syncope and dyspnea. Examination shows a late-peaking systolic ejection murmur at the right upper sternal border radiating to the carotids and diminished carotid upstroke. Which of the following is the most likely diagnosis?

Accepted Answer

Severe aortic stenosis

Answer

Pulmonic stenosis from congenital disease

Answer

Mitral stenosis

Answer

Tricuspid regurgitation

Answer

Hypertrophic obstructive cardiomyopathy

Aortic stenosis — USMLE Step 3 MCQ

A 78-year-old man has exertional syncope and dyspnea. Examination shows a late-peaking systolic ejection murmur at the right upper sternal border radiating to the carotids and diminished carotid upstroke. Which of the following is the most likely diagnosis?