Audio Qbank – Q40 – A 64M with systemic hypertension

 

A 64-year-old man with a long-standing history of systemic hypertension presents to the GP for a routine checkup. On cardiac examination, the point of maximal impulse is palpated in the 6th intercostal space in the anterior axillary line. Which of the following is likely to be seen in this patient?

  Fixed splitting of S2
  Holosystolic murmur with radiation to the axilla
  Paradoxical splitting of S2
  S3 gallop
  Wide splitting of S2

 

Cut-to-the-chase Answer (0:47):
HY USMLE Answer (6:13):