07-10-2008, 06:23 AM
A 75-year-old patient presents to the ER after a sudden syncopal episode. He is again alert and in retrospect describes occasional substernal chest pressure and shortness of breath on exertion. His lungs have a few bibasilar rales, and his blood pressure is 110/80. On cardiac auscultation, the classic finding you expect to hear is
A) A harsh systolic crescendo-decrescendo murmur heard best at the upper right sternal border
B) A diastolic decrescendo murmur heard at the mid-left sternal border
C) A holosystolic murmur heard best at the apex
D) A midsystolic click
A) A harsh systolic crescendo-decrescendo murmur heard best at the upper right sternal border
B) A diastolic decrescendo murmur heard at the mid-left sternal border
C) A holosystolic murmur heard best at the apex
D) A midsystolic click