ca-mccqe1 MCQ (SBA): Aortic stenosis

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A 70-year-old man collapses while climbing stairs. He has a history of exertional chest pain and presyncope but no previous investigations. On examination he has a harsh late-peaking systolic murmur at the right upper sternal border radiating to the carotids and a soft second heart sound. Which is the most likely cause of his syncope?

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ca-mccqe1 MCQ: Aortic stenosis — Answer & Explanation | iatroX