HY USMLE Q #677 – Murmurs

A 51-year-old man is brought to emergency after severe chest pain radiating to his back for the past 30 minutes. He has a history of cocaine use and hypertension. X-ray of the chest and angiography confirm the diagnosis. Which of the following is most likely to be seen in this patient?

Decrescendo holodiastolic murmur
Diastolic rumble following an opening snap
Holosystolic murmur
Mid-systolic murmur
Pulsus parvus et tardus