PANCE Exam Practice Questions: Quiz 115

A 75-year-old male with a history of essential hypertension and hyperlipidemia reports insidious onset of fatigue and dyspnea, as well as recent episodes of exertional syncope. Which of the following is most likely to be found on physical exam?
- A. accentuated S1 with an opening snap following S2, heard best at the left sternal border and apex
- B. a diastolic rumbling murmur heard best at the left lower sternal margin and the xiphoid, augmented during inspiration
- C. a low-pitched, blowing decrescendo diastolic murmur, heard best at the third left intercostal space along the left sternal border
- D. a systolic ejection murmur that peaks at mid-systole, heard best at the second intercostal area with radiation to the neck and apex

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