An 82-year-old female is awaiting a hip
hemiarthroplasty having sustained a fractured
neck of femur. She has mild dementia and is unable
to relate her medical history. Her old notes are currently unavailable and as she has
recently moved from out of the region her computer records are unhelpful. On
examination she has a small volume, regular pulse. Her blood pressure is 136/72mmHg and
her JVP is not raised. She has an undisplaced, tapping apex beat. On auscultation,
she has a short rumbling diastolic murmur audible all over the praecordium. Which one
of the following is the MOST LIKELY valve lesion?
a) Mitral stenosis
b) Aortic regurgitation
c) Mixed aortic valve disease
d) Tricuspid stenosis
e) Pulmonary regurgitation
