HY USMLE Q #1637 – Murmurs

A 39-year-old woman comes to the physician for a 3-month history of intermittent intense sweating, diarrhea, and palpitations. Urinary 5-hydroxyindoleacetic acid is increased.

Which of the following is most likely to be seen in this patient?

A) 2/6 Early-diastolic murmur
B) 2/6 Holosystolic murmur that increases with inspiration
C) 2/6 Mid-systolic murmur
D) 3/6 Opening snap + diastolic murmur
E) 4/6 To-and-fro murmur

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