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General Medicine General a21bfb34

A 20-year-old man comes to the physician for routine examination. He is afebrile and has clear breath sounds throughout. Cardiac examination shows a mid to late diastolic murmur on auscultation, loudest at the cardiac apex. Which of the following is the most likely cause for this patient’s murmur?

A
Acute pericarditis
B
Congenital heart defect
C
Infective endocarditis
D
Rheumatic fever

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