A 63-year-old woman develops exertional angina and has had two episodes of syncope. Examination shows a systolic ejection murmur with radiation to the carotids and a soft S2. 

A patient with new-onset syncope has a blood pressure of 110/95 mm Hg and a harsh systolic ejection murmur at the base, radiating to both carotids. Auscultation of the second heart sound at the base might reveal which of the following findings?

What is change occur in the presence of sever mitral stenosis in left atrium.

You see a 57-year-old woman who presents with worsening shortness of breath coupled with decreased exercise tolerance. She had rheumatic fever in her adolescence and suffers from essential hypertension. On examination she has signs which point to a diagnosis of mitral stenosis. 

Worldwide, the most common cause of aortic regurgitation is which of the following?

A 32-year-old asymptomatic woman has a rapidly rising, forceful pulse that collapses quickly. 

which of the following is not seen in  early cases of mitral stenosis?

Auscultation of the heart of a 17-year-old boy reveals an increased intensity of the pulmonary component of the second heart sound. He complains of mitral stenosis