Question

a 30 - year - old female with a history of heart valve problems states that she has been \very tired.\ she has started waking up at night and feels like her \heart is pounding.\ during the examination, you auscultate a blowing, swishing sound right after s1 at the left fifth intercostal space at the midclavicular line. these findings are most consistent with?
mitral stenosis
aortic regurgitation
mitral regurgitation
aortic stenosis

Explanation:

Mitral regurgitation is characterized by a blowing, swishing systolic murmur heard best at the left fifth intercostal space at the mid - clavicular line right after S1. Symptoms like fatigue and palpitations can also be present. Mitral stenosis has a diastolic murmur. Aortic regurgitation has a diastolic murmur and is best heard at the left sternal border. Aortic stenosis has a systolic murmur but is best heard at the right second intercostal space.

Answer:

C. mitral regurgitation