Directions: Try the USMLE question(s) which are listed below, pick one answer from the choices below and then check the answer by clicking on the get answer button.
Question
A 52-year-old woman comes to the emergency department complaining of shortness of breath. She has a medical history significant for a “heart murmur” and hypertension. She is on no medications and describes “throat swelling” with penicillin. Her temperature is 37.0 C (98.6 F), blood pressure is 123/89 mm Hg, pulse is 103/min, and respirations are 28/min. On examination, she has jugular venous distension. There is a loud ejection murmur at the cardiac apex and rales bilaterally in both lung fields. Her chest radiograph shows perihilar air-space disease. An electrocardiogram shows sinus rhythm and left ventricular hypertrophy. The most appropriate next diagnostic step is to order a
A. Cardiac stress test
B. CT scan of the chest
C. Transesophageal echocardiogram
D. Transthoracic echocardiogram
E. Ventilation-perfusion scan
