No murmur or abnormalities that suggest vavulopathy.
USMLE Step 1 Community
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26 Apr 2025
A 58-year-old female presents with difficulty breathing, especially when lying flat. She has a history of poorly controlled hypertension and hyperlipidemia. Physical examination reveals elevated jugular venous pressure, rales on pulmonary auscultation, and peripheral edema. An echocardiogram shows increased left ventricular thickness and diastolic dysfunction. What is the most likely diagnosis?
Question:
A 58-year-old female presents with difficulty breathing, especially when lying flat. She has a history of poorly controlled hypertension and hyperlipidemia. Physical examination reveals elevated jugular venous pressure, rales on pulmonary auscultation, and peripheral edema. An echocardiogram shows increased left ventricular thickness and diastolic dysfunction. What is the most likely diagnosis?
Options:
A)Acute myocardial infarction
B)Dilated cardiomyopathy
C)Restrictive cardiomyopathy
D)Left ventricular hypertrophy due to aortic stenosis
E)Hypertrophic cardiomyopathy
A 58-year-old female presents with difficulty breathing, especially when lying flat. She has a history of poorly controlled hypertension and hyperlipidemia. Physical examination reveals elevated jugular venous pressure, rales on pulmonary auscultation, and peripheral edema. An echocardiogram shows increased left ventricular thickness and diastolic dysfunction. What is the most likely diagnosis?
Question:
A 58-year-old female presents with difficulty breathing, especially when lying flat. She has a history of poorly controlled hypertension and hyperlipidemia. Physical examination reveals elevated jugular venous pressure, rales on pulmonary auscultation, and peripheral edema. An echocardiogram shows increased left ventricular thickness and diastolic dysfunction. What is the most likely diagnosis?
Options:
A)Acute myocardial infarction
B)Dilated cardiomyopathy
C)Restrictive cardiomyopathy
D)Left ventricular hypertrophy due to aortic stenosis
E)Hypertrophic cardiomyopathy
Correct answer: "Left ventricular hypertrophy due to overload pressure from HBP", not due to aortic stenosis, as there are no signs or history in the patient to suggest this condition
Correct answer: "Left ventricular hypertrophy due to overload pressure from HBP", not due to aortic stenosis, as there are no signs or history in the patient to suggest this condition
I think it’s because it’s mentioned “poorly controlled hypertension”.
I think it’s because it’s mentioned “poorly controlled hypertension”.