They might as well take a picture of Disneyland and put it up there. Like I know what the hell those stupid heart valves are supposed to look like.
All I gather from those pictures is that there is a heart valve, and it has something wrong with it. But they could have just put in the stem of the question
"A 32 year old female immigrant from Peru presents to the emergency department with chest pain and shortness of breath. She has never been vaccinated for anything, and further questioning reveals that she had two throat infections several weeks ago. One of which caused a gray exudate on the mucosa, the other of which did not. She is very tall and thin, and she also has a rash on her face. While shooting heroin in the bathroom, she collapses and falls on a spear, which goes directly through her heart, thoroughly destroying it. You go down to the pathology lab later to follow up on this case, because you are a medical student, and your attending sent you down there to stop sucking the life out of his service, and the pathologist tells you that you can only look at his path specimens at a distance of one inch. This pathologist is most likely which of the following?"
A. An *******
B. A graduate of an osteopathic school
C. Really the janitor
D. A question writer for step 1