4 Months Of Progressive in Medicine / Internal Medicine — 44yo Man | Cardiology | SMLE Q#18491
SMLE Question #18491
Medicine / Internal Medicine
Cardiology
Objective: OBJ-VALVE-001
Last updated: February 2026
A 44-year-old man presents to the outpatient clinic with 4 months of progressive dyspnea on exertion. He denies chest pain. Cardiac examination reveals an early diastolic decrescendo murmur best heard at the left upper sternal border. The murmur becomes louder and lasts longer with inspiration. Which valvular lesion is the most likely cause of this murmur?
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