MKSAP has been trusted by internists since 1967 as the
best resource for updating knowledge. MKSAP 17, available in
Complete, Digital, and Print packages, consists of 11 comprehensive
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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 17's original and high-quality
questions evolve out of case studies and patient scenarios based on
the latest evidence.
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MKSAP 17 Q & A
A 32-year-old man is evaluated during an initial office visit. He has no symptoms and no significant medical history. He takes no medications.
On physical examination, blood pressure is 120/70 mm Hg in both arms, pulse rate is 64/min, and respiration rate is 12/min. Cardiac examination reveals a grade 1/6 decrescendo diastolic murmur heard best at the left lower sternal border. Femoral pulses are equal.
Which of the following is the most likely cause of the patient's murmur?
A. Aortic coarctation
B. Atrial septal defect
C. Bicuspid aortic valve
D. Mitral stenosis
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