USMLE step 2 Mcq 116:An 18-year-old girl has dull retrosternal pain and shortness of breath

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Question:
An 18-year-old girl has dull retrosternal pain and shortness of breath. On examination she has a heaving apical pulse, an apical systolic thrill and a short mid-diastolic rumbling murmur. The most likely diagnosis is

a) mitral insufficiency
b) aortic stenosis
c) pericarditis
d) tricuspid incompetence
e) costochondritic pain


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