No Diastolic Murmur in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11139
SMLE Question #11139
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old primigravida at 30 weeks of gestation attends a routine antenatal visit. She has no chest pain, dyspnoea, syncope, palpitations, or reduced exercise tolerance. Cardiac examination reveals a grade II/VI systolic ejection murmur best heard at the left upper sternal border, with no diastolic murmur and no radiation to the carotids. Peripheral oedema is not present. Which of the following is the most likely diagnosis?
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