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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#7 (reveal difficulty score)
A 72-year-old man comes to the physician ...
Aortic stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio

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submitted by โˆ—step_prep5(246)
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  • Old patient with โ€œparvus et tardusโ€ (diminished carotid upstrokes) and a 4/6 systolic murmur heard throughout the precordium with radiation to the carotids, most consistent with aortic stenosis
  • Key idea: Aortic stenosis can lead to heart failure because the LV will need to pump against increased afterload and will eventually become weak
  • Key idea: Most common cause of aortic stenosis is aortic valve calcification that is seen in elderly patients and developed over time

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submitted by โˆ—carolebaskin(109)
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MR. AS S

  • Mitral Regurg
  • Aortic Stenosis
  • = Systolic

Systolic murmur so, MR or AS

"throughout the precordium with radiation to the carotids"

Aorta radiates to the carotids --> AS

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