Standing in Medicine / Internal Medicine — 29yo Man | Cardiology | SMLE Q#11140
SMLE Question #11140
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 29-year-old man presents for a routine pre-employment physical examination. He has no past medical history and denies chest pain, dyspnea, palpitations, syncope, or previous rheumatic fever. Cardiac auscultation reveals a mid-systolic click followed by a late systolic murmur best heard at the apex, which becomes louder with standing and during the Valsalva maneuver, without radiation. What is the most likely diagnosis?
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