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PANCE Practice Test

Category - PA

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If a patient has a crescendo-decrescendo midsystolic ejection murmur with a paradoxically split second heart sound (S2) and the left ventricular pressure during systole is markedly greater than the aortic pressure, what is the correct diagnosis?

Aortic regurgitation
Aortic stenosis
Constrictive pericarditis
Mitral regurgitation

Explanation

Answer: B - Aortic stenosis (AS) is usually the result of a bicuspid aortic valve (AV), degenerative calcification of a bicuspid valve, or rheumatic heart disease.

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