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Retired NBME 16 Answers

nbme16/Block 1/Question#22 (reveal difficulty score)
A 60-year-old man comes to the physician for ...
Aortic valve stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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Here is a diagram of the listening locations for each valve/heart murmur.

This is aortic stenosis because they are listening over the aortic area and it is a systolic murmur. Rationally, it makes sense that aortic stenosis is systolic because in systole you would be attempting to push blood out through a stenotic valve and it would cause a murmur.

Likewise, aortic regurgitation is in diastole because it is during relaxation of the ventricle that the blood will be regurgitated back from the aorta to the ventricle causing a murmur.

FA2020 p290-291

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