A 14 year old boy is brought to the physician for an exam prior to
participation on a basketball team. He has a history of recurrent otitis
media since infant. He underwent tonsillectomy 7 years ago for snoring
associated with obstructive sleep apnea. Growth and development are
appropriate for age. Audio is like aortic stenosis. Which of the following
is the most appropriate next step in management:
A. Approve basketball participation
B. Chest x-ray
C. Exercise stress test
D. ECG
E. Echocardiography
