NBME Step 2 CK Form 7 Aortic stenosis (NBME Answers)

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Retired 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 🔍 / 📺 / 🌳 / 📖
tags: cardio

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submitted by ∗step_prep5(246)

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Old patient with “parvus et tardus” (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 ∗carolebaskin(109)

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MR. AS S

Systolic murmur so, MR or AS

"throughout the precordium with radiation to the carotids"

Aorta radiates to the carotids --> AS

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