Answer :USMLE step 2 Mcq 309:A 24 year old female has pulmonary hypertension





Correct Answer: A

A large v wave in the jugular pulse is seen with tricuspid insufficiency. The v wave occurs late in ventriuclar systole. It is due to the increase in volume and increase in pressure in the right atriaum.A systolic ejection murmur (choice b) is heard with aortic stenosis and pulmonic stenosis.The pulse pressure is the difference between systolic and diastolic pressure. An increased pulse pressure (choice c) is seen with aortic regurgitation.A large a wave in the jugular pulse (choice d) is seen with tricuspid stenosis. A pansystolic murmur (choice e) can be heard with mitral insufficiency


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