QuestionSBA
QuestionChoice
Atrial fibrillation usually presents with palpitations, dyspnoea and chest pain. Patients also have an irregularly irregular pulse. It usually doesn't cause a murmur.
10003567
b
Atrial fibrillation
QuestionChoice
Complete heart block can present similarly with syncopal episodes, however, can also cause bradycardia (30-50 bpm) and a wide pulse pressure. A mid-late blowing diastolic murmur (Rytand murmur) is occasionally heard in these patients.
10003568
c
Complete heart block
QuestionChoice
Vestibular neuronitis can present with recurrent attacks of vertigo. It is important to not confuse vertigo with dizziness. Vertigo is defined as feeling as though you or your surroundings are spinning, whilst dizziness can be characterised by a range of sensations such as feeling light-headed, faint, woozy, off-balance or weak.
10003570
e
Vestibular neuronitis
QuestionChoice
This patient has not reported feeling dizzy, light-headed or nauseous when standing up suddenly. Hence, postural hypotension is an unlikely diagnosis.
10003569
d
Postural hypotension
QuestionChoice
Aortic stenosis characteristically causes a mild ejection-systolic murmur which radiates to the carotids. The most common sign and best indicator of severity is a slow-rising pulse. Aortic stenosis typically presents with chest pain, dyspnoea and syncope/presyncope.
10003566
a
Aortic stenosis
QuestionComment
Doesn't Aortic regurgitation radiate to the left sternal edge and Aortic stenosis to the carotids?
53959
User
subscriber
Lily B-B
Concept
Chapter
2693
3716
Aortic stenosis
Topic
134
Cardiology
13260
A 50-year-old female is admitted to the hospital after an episode of collapse. She reveals that she's recently had several attacks of faintness, mostly on exertion. During these attacks, she feels lightheaded but does not have vertigo.

On examination, she has a pulse of 70 bpm which is slow rising, and a blood pressure of 110/80 mmHg. A systolic murmur can be heard at the left sternal edge.

What is the most likely diagnosis?
a