Cardiology: 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

Sample item

An elderly man has exertional angina, syncope and breathlessness, with an ejection systolic murmur radiating to the carotids. What is the most likely diagnosis?

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

The answer and the reasoning

A. Aortic stenosis

Angina, syncope and heart failure are the classic triad of symptomatic aortic stenosis. Once symptoms appear, prognosis falls sharply and valve replacement is considered.

Option by option

  • A. Aortic stenosis (correct)

    Correct.

  • B. Mitral regurgitation

    Mitral regurgitation gives a pansystolic murmur at the apex radiating to the axilla.

  • C. Aortic regurgitation

    Aortic regurgitation gives an early diastolic murmur and a wide pulse pressure.

  • D. Mitral stenosis

    Mitral stenosis gives a mid-diastolic rumbling murmur and a loud S1.

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 A, Aortic stenosis. Angina, syncope and heart failure are the classic triad of symptomatic aortic stenosis.

Why is "Mitral regurgitation" not the answer?

Mitral regurgitation gives a pansystolic murmur at the apex radiating to the axilla.

Why is "Aortic regurgitation" not the answer?

Aortic regurgitation gives an early diastolic murmur and a wide pulse pressure.

Why is "Mitral stenosis" not the answer?

Mitral stenosis gives a mid-diastolic rumbling murmur and a loud S1.

What concept does this question test?

It tests Cardiology in General Medicine. Once symptoms appear, prognosis falls sharply and valve replacement is considered.

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?

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.