HY USMLE Q #1558 – Vascular

A 63-year-old man is evaluated in hospital for a 2-month history of several episodes of unexplained syncope. His blood pressure is 150/90. His mother died at age 68 from cerebrovascular disease. ECG shows Q waves in II, III, and aVF. Which of the following is the most likely explanation for this patient’s findings?

A) Arrhythmia
B) Carotid stenosis
C) Cerebrovascular disease
D) Circumflex artery disease
E) Ventricular thromboemboli

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