The key sign(s) of aortic stenosis are: A. Syncope B. Dyspnea ...

[moongchi]

The key sign(s) of aortic stenosis are:
 
  A. Syncope
  B. Dyspnea
  C. Angina
  D. All of the above

Question 2

The murmur of aortic stenosis is best heard in the:
 
  A. Left second intercostal space left sternal border
  B. Left fifth intercostal space mid-clavicular line
  C. Right fourth intercostal space right sternal border
  D. Right second intercostal space right sternal border

[Animal_Goddess]

Answer to Question 1

ANS: D
Syncope, angina, and dyspnea (remembered with the acronym SAD) on exertion are the classic symptoms of aortic stenosis. If syncope occurs with exertion, the aortic stenosis is typically severe. Angina may be present because of decreased perfusion of the left ventricle due to LVH rather than CAD, but both exist in many cases.

Answer to Question 2

ANS: D
Aortic stenosis is heard best in the second right intercostal space with the client leaning forward. The murmur is harsh, loud, and often associated with a thrill. It may radiate to the neck, left sternal border, and, in some cases, to the apex.