Cardiology: aortic stenosis: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Cardiology: aortic stenosis

Sample item

An older adult has exertional syncope, angina, and a harsh ejection systolic murmur radiating to the carotids. Which valve lesion is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Aortic stenosis

Severe aortic stenosis classically presents with exertional dyspnea, angina, or syncope and a crescendo-decrescendo systolic murmur radiating to the carotids. Symptoms indicate clinically significant outflow obstruction.

Option by option

  • A. Aortic regurgitation

    Aortic regurgitation produces an early diastolic decrescendo murmur and wide pulse pressure.

  • B. Tricuspid stenosis

    Tricuspid stenosis is a rare right-sided diastolic lesion.

  • C. Aortic stenosis (correct)

    Correct. The carotid-radiating ejection murmur with the symptom triad is characteristic.

  • D. Mitral regurgitation

    Mitral regurgitation produces a pansystolic apical murmur radiating to the axilla.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is C, Aortic stenosis. Severe aortic stenosis classically presents with exertional dyspnea, angina, or syncope and a crescendo-decrescendo systolic murmur radiating to the carotids.

Why is "Aortic regurgitation" not the answer?

Aortic regurgitation produces an early diastolic decrescendo murmur and wide pulse pressure.

Why is "Tricuspid stenosis" not the answer?

Tricuspid stenosis is a rare right-sided diastolic lesion.

Why is "Mitral regurgitation" not the answer?

Mitral regurgitation produces a pansystolic apical murmur radiating to the axilla.

What concept does this question test?

It tests Cardiology: aortic stenosis in General Medicine. Symptoms indicate clinically significant outflow obstruction.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Cardiology: aortic stenosis?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.