Audio Qbank – Q53 – A 30M with a murmur

 

A 30-year-old man comes to the GP for a routine physical examination. He is 6’5″ and weighs 170 lbs. Cardiac auscultation shows a 2/6 midsystolic click. Physical examination shows long fingers, dental malocclusion, joint hypermobility, and scoliosis. Which of the following is the most likely cause of this patient’s cardiac finding?

  Bicuspid aortic valve
  Incompetence of aortic valve leaflets
  Myxomatous degeneration
  Narrowing of mitral orifice
  Rupture of chordae tendineae

Cut-to-the-chase Answer (0:35):

HY USMLE Answer (2:33):