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Very hard but PERFECT Cardio Step 1 question that you will see, 100% chance.. Now, you come to patient number 2213 on your thousand hour straight hospital shift. You grab a swig of coffee, and see a 22-year-old football player that does NOT take steroids named Deion Sanders who presents with increasing dyspnea on exertion during games. Over the past 2 weeks, he has noted increasing shortness of breath while covering for running backs as the NFL scouts follow. He has also found it difficult to sleep comfortably while lying flat and now sleeps on three pillows! He has awoken several times in the past month with shortness of breath sort of in panic because he may lose a multi million dollar contract. He denies any history of chest pain. He does not smoke, and his cholesterol tests were always normal. He eats very healthy. On physical examination, he is in NAD and seems the perfect athlete. But,….his blood pressure is 150/80 mm Hg, pulse is 80/min and regular, and respirations are 16/min. He has jugulovenous distention while being examined at 45 degrees. His lungs have bibasilar rales. On cardiac examination, there is a regular S1 and S2, with a blowing diastolic murmur heard loudest at the left sternal border. A systolic murmur is heard. An extra heart sound immediately following the S2 is heard. There is mild lower extremity pedal edema bilaterally. Which of the following is the most likely cause of his symptoms? Also, what IS the disease? (Very tricky question…but a PERFECT board tricky question):( :confused: :cry: 1-Mitral regurgitation 2 Aortic stenosis 3-Tricuspid stenosis 4-Pulmonary valve stenosis 5-Mitral stenosis 6-Mitral regurgitation 7-Tricuspid regurgitation 8-Aortic insufficiency (YOU BETTER KNOW EVERY SINGLE ONE OF THE ABOVE DISORDERS, AND HOW THEY PRESENT CLINICALLY AND ON AN ECG AND how they SOUND and LOOK like (cresendo, descresendo, etc.). I GUARANTEE 100% FROM STUDENT FEEDBACK YOU WILL SEE THIS VERY SIMILAR TYPE OF QUESTION. I heard from the grapevine that the NBME and Step1 is more and more focusing on Cardiology) AGAIN,. 100%… Do NOT ignore this post. If you got the question wrong, IMMEDIATELY go online or to your books and KNOW every single fact about the conditions from #1-#8!!!

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Subject: Tommy's Concepts

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Very hard but PERFECT Cardio Step 1 question that you will see, 100% chance..


Now, you come to patient number 2213 on your thousand hour straight hospital shift. You grab a swig of coffee, and see a 22-year-old football player that does NOT take steroids named Deion Sanders who presents with increasing dyspnea on exertion during games. Over the past 2 weeks, he has noted increasing shortness of breath while covering for running backs as the NFL scouts follow. He has also found it difficult to sleep comfortably while lying flat and now sleeps on three pillows! He has awoken several times in the past month with shortness of breath sort of in panic because he may lose a multi million dollar contract. He denies any history of chest pain. He does not smoke, and his cholesterol tests were always normal. He eats very healthy. On physical examination, he is in NAD and seems the perfect athlete. But,….his blood pressure is 150/80 mm Hg, pulse is 80/min and regular, and respirations are 16/min. He has jugulovenous distention while being examined at 45 degrees. His lungs have bibasilar rales. On cardiac examination, there is a regular S1 and S2, with a blowing diastolic murmur heard loudest at the left sternal border. A systolic murmur is heard. An extra heart sound immediately following the S2 is heard. There is mild lower extremity pedal edema bilaterally. Which of the following is the most likely cause of his symptoms? Also, what IS the disease? (Very tricky question…but a PERFECT board tricky question)
1-Mitral regurgitation
2 Aortic stenosis
3-Tricuspid stenosis
4-Pulmonary valve stenosis
5-Mitral stenosis
6-Mitral regurgitation
7-Tricuspid regurgitation
8-Aortic insufficiency
(YOU BETTER KNOW EVERY SINGLE ONE OF THE ABOVE DISORDERS, AND HOW THEY PRESENT CLINICALLY AND ON AN ECG AND how they SOUND and LOOK like (cresendo, descresendo, etc.). I GUARANTEE 100% FROM STUDENT FEEDBACK YOU WILL SEE THIS VERY SIMILAR TYPE OF QUESTION. I heard from the grapevine that the NBME and Step1 is more and more focusing on Cardiology) AGAIN,. 100%…
Do NOT ignore this post. If you got the question wrong, IMMEDIATELY go online or to your books and KNOW every single fact about the conditions from #1-#8!!!

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