Question

In an 81-year-old female with a chief complaint of dizziness with exertion, a soft S2 heart sound, and a 3/6 crescendo-decrescendo systolic murmur heard best at the 2nd right intercostal space that radiates to the neck, the findings are most consistent with:

a) Aortic stenosis
b) Aortic regurgitation
c) Mitral regurgitation
d) Mitral stenosis

Answer 1

The findings described are most consistent with Aortic stenosis (option a).

Step-by-step explanation:

The findings described in the case of an 81-year-old female with dizziness with exertion, a soft S2 heart sound, and a 3/6 crescendo-decrescendo systolic murmur heard best at the 2nd right intercostal space that radiates to the neck are most consistent with Aortic stenosis (option a). Aortic stenosis is characterized by narrowing of the aortic valve, which obstructs the blood flow from the left ventricle into the aorta. The dizziness with exertion, soft S2 heart sound, and the specific murmur characteristics are indicative of this condition.