USMLE step 2 Mcq 183:A 4-year-old boy wakes up frequently saying, 'It hurts here' while pointing to his chest

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Question:
A 4-year-old boy wakes up frequently saying, 'It hurts here' while pointing to his chest. He was born prematurely but has done well otherwise. On examination he has a 2/6 ejection systolic murmur between the left sternal border and the apex that radiates to the base and is accompanied by an apical S3. The most likely diagnosis is

a) reflux esophagitis
b) aortic stenosis
c) pericarditis
d) pleuritis
e) costochondritic pain


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