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MMLU / A 52-year-old woman has had dyspnea and hemoptysis for 1 month. She has a…

Problem

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question

A 52-year-old woman has had dyspnea and hemoptysis for 1 month. She has a history of rheumatic fever as a child and has had a cardiac murmur since early adulthood. Her temperature is 36.7°C (98°F), pulse is 130/min and irregularly irregular, respirations are 20/min, and blood pressure is 98/60 mm Hg. Jugular venous pressure is not increased. Bilateral crackles are heard at the lung bases. There is an opening snap followed by a low-pitched diastolic murmur at the third left intercostal space. An x-ray of the chest shows left atrial enlargement, a straight left cardiac border, and pulmonary venous engorgement. Which of the following is the most likely explanation for these findings?

choices

  1. Aortic valve insufficiency
  2. Aortic valve stenosis
  3. Mitral valve insufficiency
  4. Mitral valve stenosis

subject

professional_medicine

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Source and history

task_id
04939bea-e4fb-56ef-b0d1-7c27bf8514be
task_key
all--test--04939bea-e4fb-56ef-b0d1-7c27bf8514be
task_revision_id
1
config / split
all / test

Official source

initial import