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Exam questionKROK 2Medicine ยท 2021

A 39-year-old man suffers from chronic rheumatic heart disease. He complains of dyspnea during physical exertion, cough with expectoration, and palpitations. Ausculation detects intensified I heart sound and diastolic murmur; the sound of opening mitral valve can be auscultated at the cardiac apex. The II heart sound is accentuated over the pulmonary artery. The patient is cyanotic. X-ray shows dilated pulmonary root and enlargement of the right ventricle and left atrium. What is the most likely diagnosis?

Answer options

  1. Pulmonary artery stenosis
  2. Mitral stenosis
  3. Coarctation of the aorta
  4. Aortic stenosis
  5. Patent ductus arteriosus
Correct answer

Mitral stenosis

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