%answer%

A 24-year-old male presents to the clinic for a routine pre-employment physical examination. He reports no current symptoms. His past medical and surgical histories are unremarkable. He maintains an active lifestyle and is not on any medications. Additionally, he does not smoke or consume alcohol. His blood pressure is 120/80 mmHg, heart rate is 80/min, respiratory rate is 18/min, and temperature is 37°C (98.6°F). On physical examination, chest auscultation reveals an early decrescendo diastolic murmur heard right after the second heart sound. The murmur is most pronounced at the left sternal border during exhalation. Both carotid pulses are normal, and the rest of the physical examination is unremarkable. An EKG shows a normal sinus rhythm. Which of the following is the most likely diagnosis?

a) Aortic regurgitation

b) Pulmonary regurgitation

c) Aortic stenosis

d) Hypertrophic cardiomyopathy

usmle section 3

Organization

Stats

Share

Related Maze