MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 17, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 17's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
For more information on MKSAP 17, or to order your copy, visit www.acponline.org/products_services/mksap/17/
MKSAP 17 Q & A
A 60-year-old man is evaluated for a murmur that was noted on a routine examination. He reports exertional dyspnea when walking up stairs. He has hypertension and takes lisinopril.
On physical examination, the patient is afebrile, blood pressure is 160/60 mm Hg, pulse rate is 90/min, and respiration rate is 16/min. Cardiac examination reveals a laterally displaced cardiac apex, soft S1, and absent S2. There is a grade 2/6 high-pitched blowing diastolic murmur at the left third intercostal space and a grade 1/6 rumbling mid-diastolic murmur at the apex.
Which of the following is the most likely diagnosis?
A. Aortic regurgitation
B. Mitral stenosis
C. Patent ductus arteriosus
D. Ruptured sinus of Valsalva aneurysm
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