A 54-year-old man arrives at the office after experiencing dizziness while walking his dog in the morning. He hasn't been experiencing any chest pain, shortness of breath, weakness, or headaches. The exhibit includes cardiac auscultation findings at the right sternal border. Which of the following is the most likely cause of this patient's symptoms?

Question

A 54-year-old man arrives at the office after experiencing dizziness while walking his dog in the morning. He hasn't been experiencing any chest pain, shortness of breath, weakness, or headaches. The exhibit includes cardiac auscultation findings at the right sternal border.  Which of the following is the most likely cause of this patient's symptoms?

Quizplus · Accepted Answer

Eductional Objective: In the United States, a bicuspid aortic valve is a common cause of aortic stenosis. A harsh, crescendo-decrescendo systolic ejection murmur best heard at the right upper sternal border with radiation to the carotids is the classic auscultatory finding in aortic stenosis.

A 54-Year-Old Man Arrives at the Office After Experiencing Dizziness