Correct Answer for :USMLE step 02 MCQ 4 :A 26 year old female with tricuspid stenosis

Correct Answer: D


large a wave in the jugular pulse is seen with tricuspid stenosis. The a wave is the first part of the jugular pulse and is due to blood flowing backwards into the vena cava when the right atrium contracts.A large v wave in the jugular pulse (choice a) is seen with tricuspid insufficiency.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 pansystolic murmur (choice e) can be heard with mitral insufficiency.

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