Aortic valve disease Quiz: Ace Your Exams

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A 75-year-old man comes to his primary care physician’s office accompanied by his partner following an episode of syncope two days ago. The patient was working in his garden when he suddenly felt light headed and lost consciousness for one minute. His partner, who witnessed the incident, states that he did not jerk uncontrollably or hit his head. The patient endorses worsening shortness of breath and occasional chest pain during his usual morning walk for the past month. Medical history includes benign prostatic hyperplasia, which is managed with finasteride. His temperature is 36.0°C (96.8°F), pulse is 75/min, and blood pressure is 138/87 mmHg. On physical examination, the lungs are clear to auscultation. Neurologic examination is within normal limits. ECG demonstrates voltage criteria for left ventricular hypertrophy. Cardiac auscultation will most likely reveal a murmur in which of the areas marked on the diagram below?

 

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