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
- Pulmonary artery stenosis
- Mitral stenosis
- Coarctation of the aorta
- Aortic stenosis
- Patent ductus arteriosus
Correct answer
Mitral stenosis
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