Progressive Exertional Dyspnea in Medicine / Internal Medicine — 55yo Man | Cardiology | SMLE Q#16944

SMLE Question #16944

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 55-year-old man presents with progressive exertional dyspnea. Examination shows bounding peripheral pulses and a high-pitched, blowing early diastolic decrescendo murmur at the left sternal border, best heard sitting up, leaning forward, and in full expiration. ECG shows left ventricular hypertrophy. What is the most likely diagnosis?

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