Cardiology · NEET PG Preparation Medicine
A 45-year-old female presents with fatigue, dyspnea on exertion, and palpitations. Physical examination reveals an irregular pulse, a loud first hear…
Practice question from Cardiology (NEET PG Preparation Medicine), with the correct answer and a step-by-step solution.
easy · MCQ · Q-919DFA
A 45-year-old female presents with fatigue, dyspnea on exertion, and palpitations. Physical examination reveals an irregular pulse, a loud first heart sound, an opening snap followed by a low-pitched rumbling middiastolic murmur with pre-systolic accentuation at the apex. Which of the following is the most common cause of this condition?
- A.Degenerative calcification
- B.Rheumatic heart diseaseCorrect answer
- C.Infective endocarditis
- D.Congenital bicuspid valve
Solution
The clinical presentation (opening snap, rumbling middiastolic murmur with pre-systolic accentuation, loud S1, atrial fibrillation) is classic for mitral stenosis. Rheumatic heart disease is overwhelmingly the most common cause of mitral stenosis worldwide.
More from Cardiology
- A 55-year-old male with a history of anterior ST-elevation myocardial infarction 2 years ago presents with progressively worsening dyspnea…
- A 68-year-old man presents with syncopal episodes. On examination, he has a delayed and weak carotid upstroke (pulsus parvus et tardus) and…
- A 28-year-old competitive athlete collapses during a soccer match and is brought to the emergency department, where he is declared dead. Po…
- A 60-year-old male with chronic heart failure with reduced ejection fraction (HFrEF) is currently on maximally tolerated doses of an ACE in…
Practise more Medicine
Sign up free for adaptive practice on this chapter, with instant feedback and hints on every question.
Start practising freeFree to start · No credit card needed