robin082006
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A 61-year-old man presents with reduced exercise capacity and resting dyspnea. The patient also complains of recent hoarseness. Auscultation discloses a high-pitched opening snap followed by a low-frequency decrescendo diastolic murmur, and finally a loud S1. The patient’s history reveals acute rheumatic fever when the patient was 30 years old. He says that his dyspnea has significantly worsened since his last examination 5 months ago. Compared to 5 months ago, this patient most likely has a(n)
A. decreased interval between A2 and the opening snap
B. decreased peak left atrial V wave pressure
C. increased period of isovolumetric relaxation
D. increased slope of the left atrial Y descent
E. increased systolic blood pressure
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| rman
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A
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| sridevibandaru24
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A
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| alexaE
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definitely
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| leen
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A...
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| docarchana
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its a case of MS. how can we explain choice A?
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