A 31-Year-Old Man Is Evaluated for a Murmur

question 474

Multiple Choice

A 31-year-old man is evaluated for a murmur.  He has no other symptoms and his past medical history is unremarkable.  He jogs 3 times per week and rides a bicycle on the weekend.  His blood pressure is 122/70 mm Hg on the right arm and 125/75 mm Hg in both ankles.  On physical examination, a harsh, 4/6 holosystolic murmur is heard at the 4th left intercostal space close to the sternal border accompanied by a thrill.  The rest of the physical examination is within normal limits.  Which of the following is the most likely diagnosis?

• A)Atrial septal defect
• B)Mitral valve prolapse
• C)Tetralogy of Fallot
• D)Tricuspid valve stenosis
• E)Ventricular septal defect

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Definitions:

Social Changes

Alterations in the societal structures, processes, and patterns over time, which affect communities and individuals.

Cross-Cultural Research

Analytical studies that compare cultural contexts to understand the variability of human behavior, norms, and values across different societies or ethnic groups.

Cultural Groups

Communities of people who share common languages, customs, norms, traditions, and views of the world.

Developmental Processes

The sequence of physical, psychological, and emotional changes that occur from birth through the life span.