A 54-Year-Old Man Comes to the Office Due to Light-Headedness

A 54-year-old man comes to the office due to light-headedness when walking his dog in the morning.  He has had no chest pain, shortness of breath, weakness, or headaches. Cardiac auscultation findings at the right sternal border are heard in the exhibit. 

Which of the following is the most likely cause of this patient's symptoms?

A) Bicuspid aortic valve
B) Infective endocarditis
C) Marfan syndrome
D) Mitral valve prolapse
E) Ventricular septal defect

Correct Answer:

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