Normal Second Heart Sound in Medicine / Internal Medicine — 65yo Man | Cardiology | SMLE Q#16789
SMLE Question #16789
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 65-year-old man is incidentally noted to have a systolic murmur on routine examination. He has no chest pain, dyspnea, presyncope, or syncope and reports good exercise tolerance. Cardiac examination reveals a grade 3/6 ejection systolic murmur at the right upper sternal border radiating to the carotids with a normal second heart sound. What is the most appropriate management option at this time?
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