Which of the following physical signs is seen in a patient with severe aoic stenosis:
Answer is D (Delayed peak of systolic murmur) The ejection systolic murmur stas after the ejection click reaches a peak in midsystole. With increasing severity of aoic stenosis the peak gets delayed so that the maximum intensity of the murmur is closer to the end rather than being midsystolic.
Opening snap
Diastolic rumble
Holosystolic murmur
Delayed peak of systolic murmur