The college is particularly fond of aortic stenosis, as is demonstrated by their constant asking of questions on this topic. Specifically, multiple questions have been asked on the topic of severity staging of aortic stenosis. However, beyond the issue of cynical exam cramming, there is also the management of the aortic stenosis patient who is haemodynamically unstable, and knowing what to expect from their circulatory performance in response to stress. In summary, these patients do better when they are well filled, and with their heart rate slow. It is also good to avoid AF and maintain a high diastolic pressure.