HY USMLE Q #695 – Cardio physiology

A 65-year-old man comes to the physician for a routine health maintenance examination. Cardiac examination shows a laterally displaced point of maximal impulse in the anterior axillary line and a 3/6 mid-systolic murmur that radiates to the carotids. Pulmonary capillary wedge pressure is elevated. Which of the following combinations of findings is most likely to be seen in this patient?

↑ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↑ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↑ Stroke work; ↑ Myocardial O2 consumption; ↓ Myocardial O2 tension; ↑ Adenosine concentration
↑ Stroke work; ↑ Myocardial O2 consumption; ↓ Myocardial O2 tension; ↓ Adenosine concentration
↑ Stroke work; ↓ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↓ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↓ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↓ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration
↓ Stroke work; ↑ Myocardial O2 consumption; ↑ Myocardial O2 tension; ↑ Adenosine concentration