MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 19, 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 19's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
For more information on MKSAP 19, or to order your copy, visit mksap19.acponline.org.
MKSAP 19 Q & A
A 48-year-old man is evaluated for a 6-month history of dyspnea and near-syncope with exertion. He has no other medical problems and takes no medication.
On physical examination, vital signs are normal. A grade 3/6 systolic ejection-quality murmur is heard along the left sternal border. The carotid impulse is brisk. The murmur decreases significantly in intensity with the patient squatting. There is no radiation of the murmur to the carotid arteries. No ejection sound or systolic click is heard. There is no variation with respiration, and no diastolic murmur is present.
Which of the following is the most likely diagnosis?
A: Bicuspid aortic stenosis
B: Hypertrophic cardiomyopathy
C: Restrictive membranous ventricular septal defect
D: Ruptured sinus of Valsalva aneurysm
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