COMSAE Comprehensive Osteopathic Medical Self-Assessment Exam

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A 72-year-old male presents with exertional dyspnea and a harsh, crescendo-decrescendo systolic murmur best heard at the right upper sternal border. Which of the following physical exam findings would be most consistent with severe aortic stenosis?

A brisk, collapsing carotid pulse A widely split S2 that increases with inspiration A low-amplitude and delayed carotid upstroke A holosystolic murmur radiating to the axilla

Correct Answer:

A low-amplitude and delayed carotid upstroke

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