In aortic stenosis, the patient's point of maximal impulse is commonly located at the:
A. Fifth intercostal space mid-clavicular line
B. Fifth intercostal space mid-axillary line
C. Second intercostal space left sternal border
D. Second intercostal space right sternal border
ANS: B
In aortic stenosis, the left ventricle has to work against high resistance and eventually, left ventricular hypertrophy (LVH) develops. The LVH causes an enlarged left ventricle, and the point of maximal impulse located at the fifth intercostal space moves leftward toward the mid-axillary line.
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