A 35-Year-Old Man Comes to the Physician with a 2-Week

A 35-year-old man comes to the physician with a 2-week history of low-grade fever and progressive weakness.  He has a long history of "heart murmur."  He does not use illicit drugs.  Examination shows splinter hemorrhages, small petechiae on the palatal mucosa, and an audible murmur.  His erythrocyte sedimentation rate is 96 mm/h.  Urinalysis shows microscopic hematuria and 1+ proteinuria.  Which of the following valvular dysfunctions is most likely to be detected in this patient?

A) Aortic regurgitation
B) Mitral regurgitation
C) Mitral stenosis
D) Pulmonic stenosis
E) Tricuspid regurgitation

Correct Answer:

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