An 88 year old grandmother has been having near syncopal episodes, gets dizzy and is short of breath.


Question Number 0671
Question:
An 88 year old grandmother has been having near syncopal episodes, gets dizzy and is short of breath. She cannot walk very far now without becomming completely out of breath and getting chest pain. A chest xray shows evidence of perhilar venous congestion. Examination reveals a low-pitched, systolic thrill in her right carotid artery. A likely diagnosis is
a) occlusion of the right posterior inferior cerebellar artery
b) occlusion of the left superior cerebellar artery
c) Meniere's disease
d) acute labyrinthitis
e) senile calcific aortic stenosis


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