A 47-year-old female with rheumatic fever history presents with dyspnea on exertion. Vital signs show BP 128/76 mmHg, HR 92/min, RR 18/min, temp 37.2°C, SpO2 98% on room air. Cardiac examination reveals a low-pitched, rumbling diastolic murmur preceded by an opening snap. Chest X-ray shows mild left atrial enlargement. No peripheral edema noted. She takes no cardiac medications. At which anatomical location is this murmur best appreciated?
- A)Right second intercostal space
- B)Left lower sternal body border
- C)Left second intercostal space
- D)Right fifth intercostal space
- E)Left fifth intercostal spaceGABARITO
Explicação
The correct answer is B. Source: Kaplan USMLE Step 1 QBank — Anatomy Test 1. Ver explicação completa e trilha adaptativa →