Answer:USMLE step 2 Mcq 363:26 year old female experiences chest pain



Correct Answer: E

A mid systolick click with a systolic murmur is heard with mitral valve proplapse. Mitral valve prolapse is also called 'click murmur syndrome'. A large v wave in the jugular pulse (choice a) is seen with tricuspid insufficiency.A diastolic rumbling murmur (choice b) is heard with mitral stenosis, not with mitral valve proplapse.The pulse pressure is the difference between systolic and diastolic pressure. An increased pulse pressure (choice c) is seen with aortic regurgitation A large a wave in the jugular pulse (choice d) is seen with tricuspid stenosis.


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