A 23-Year-Old Lady with Exertional Dyspnea Shows Up at the Workplace

A 23-year-old lady with exertional dyspnea shows up at the workplace. She occasionally has a dry cough, but she has never experienced palpitations, syncope, or chest discomfort. Three years ago, the patient left Cambodia. As a toddler, she experienced swelling in both knees. The results of cardiac auscultation above the cardiac apex are listed below. Which of the following describes the patient's symptoms most accurately?

A) Ascending aortic aneurysm
B) Atrial septal defect
C) Bicuspid aortic valve
D) Mitral regurgitation
E) Mitral stenosis

Correct Answer:

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