Podcast #7 - A 49M with a murmur

A 49-year-old man comes to the physician because of a 2-week history of shortness of breath with exertion. Physical examination shows a brisk carotid upstroke followed by a precipitous downstroke. HR is 84, RR is 16, BP is 160/60. Which of the following is the most likely diagnosis? Aortic aneurysm Aortic dissection Aortic regurgitation Aortic stenosis Mitral regurgitation Mitral stenosis