A 65-Year-Old Man Arrives at the Clinic for a Normal

A 65-year-old man arrives at the clinic for a normal visit with a history of hypertension and type 2 diabetes mellitus. The patient had smoked 15 packs over the course of 15 years. He runs three miles each day. 28.5 kg/m² is the BMI. History of the family is unremarkable. Below are the auscultation results above the heart apex. The auscultation findings are best explained by which of the following?

A) Aortic root dilation
B) Atrial septal defect
C) Left ventricular hypertrophy
D) Mitral valve prolapse
E) Pericardial effusion

Correct Answer:

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