WBR278
| Author | [[PageAuthor::Sapan Patel M.B.B.S]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Community Medical Health Center, MainCategory::Primary Care Office |
| Sub Category | SubCategory::Cardiovascular |
| Prompt | [[Prompt::A 68-year-old male is seen in the office for recurrent chest pain. He reports that he is getting substernal chest pain, without radiation, when he goes for a walk. The pain resolves with 12–15 minutes of rest. He has never had pain at rest. He has no other cardiac complaints and his review of systems is otherwise negative. He has an unremarkable medical history and takes only a baby aspirin a day. On examination, his blood pressure is 130/68, pulse 86, and respiratory rate 14. His cardiac examination is notable for a harsh, 3/6 systolic ejection murmur along the sternal border that radiates to the carotid arteries. His carotid pulsation is noted to rise slowly and is small and sustained. His lungs are clear. The remainder of his examination is normal. Which of the following would be the most appropriate test to order?]] |
| Answer A | AnswerA::Cardiac catheterization |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Electrophysiologic studies |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Exercise stress test |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Echocardiogram |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::24-hour Holter monitor |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::D |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | WBRKeyword::Aortic stenosis |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |