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Medicine General 164cc9b1

Which of the following physical signs is seen in a patient with severe aoic stenosis:

A
Opening snap
B
Diastolic rumble
C
Holosystolic murmur
D
Delayed peak of systolic murmur
High-Yield Explanation
Answer is D (Delayed peak of systolic murmur) The ejection systolic murmur stas after the ejection click reaches a peak in midsystole. With increasing severity of aoic stenosis the peak gets delayed so that the maximum intensity of the murmur is closer to the end rather than being midsystolic.

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