A 27-Year-Old Woman Comes to the Office Due to Intermittent

question 916

Multiple Choice

A 27-year-old woman comes to the office due to intermittent episodes of palpitations and dyspnea on exertion.  Blood pressure is 130/80 mm Hg and pulse is 78/min.  On examination, there is no peripheral edema or jugular venous distension.  The lungs are clear to auscultation.  A 3/6 ejection-type systolic murmur is heard along the left sternal border and decreases in intensity when the patient moves from a standing to a squatting position.  Which of the following additional history is most helpful for establishing a diagnosis?

• A)Family history
• B)Intravenous substance use
• C)Medication use
• D)Occupation
• E)Travel

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