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Question 80
Alan is a 14 – year-old male who has been referred for evaluation of a previously
undiagnosed cardiac murmur . According to his parents , Alan has no significant medical
history and has always been a healthy child His growth and development have been
within normal limits and his well- child checks have been normal . His cardiac murmur
was identified during a soccer preparticipation physical examination During today’s
exam , he denies any cardiopulmonary symptoms . He admits that he gets out of breath
when he is running during soccer but assumed it was just because he was running
Physical examination reveals a grade III systolic murmur at the and intercostal space ,
left sternal border , and a clearly fixed split 52 heart sound The AGACNP knows that this
murmur is probably
A . Mitral regurgitation
B . Aortic stenosis
C . Atrial septal defect
Still’s murmur