Radiation To Axilla in Medicine / Internal Medicine — 32yo Man | Cardiology | SMLE Q#11059
SMLE Question #11059
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 32-year-old man is referred after a murmur was noted on routine examination. He is asymptomatic and has good exercise tolerance. Cardiac auscultation reveals a high-pitched, blowing systolic murmur best heard at the apex with radiation to the axilla. The murmur increases with sustained handgrip and decreases during the Valsalva maneuver. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.