A 35 year old woman with a history of rheumatic fever in childhood had had episodes of congestive heart failure for several years. During the last of her hospital admissions, she developed massive pulmonary thrombo-embolism and died. Autopsy examination showed that her lungs were firm and brown, and microscopically had widened, edematous and fibrosed alveolar septa, aggregates of heart failure cells in the alveoli, thickened small muscular arteries, and atherosclerosis in the larger pulmonary arteries. An acquired valvular disease was found in the heart. Which one of the following was it most likely to be?
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mitral stenosis.
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tricuspid stenosis.
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aortic stenosis.
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aortic regurgitation.
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mitral regurgitation
Answer
Category:
Cardiology MCQs
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