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General Medicine General cdf2fd61

A 45-year-old woman has developed increasing SOB on exertion and fatigue. She has a loud systolic ejection murmur heard best at the left sternal border, and the murmur increases with standing. A double apical impulse is also felt.For the patient with a systolic murmur, select the most likely diagnosis.

A
aortic stenosis
B
HOCM
C
mitral regurgitation (chronic)
D
tricuspid regurgitation

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