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USLME Step 2 Review
Question #43 A 45 year old prostitute presents to the emergency department with increased shortness of breath and lower extremity edema slowly worsening over a few months. Her temperature is 37.2, blood pressure 140/60, heart rate 100, and respirations 20. Physical examination reveals a II/IV short early diastolic murmur at the right upper sternal border loudest in end-expiration while having her lean forward. Laboratory studies are normal. Which of the following is the most likely diagnosis? 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9
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