Review Question - QID 108635

A 72-year-old male presents with complaints of progressive dyspnea over the last 3 months. He says that he started noticing increasing shortness of breath when going on walks or mowing the lawn. In addition, he had 2 episodes of extreme lightheadedness while moving some of his furniture. His past medical history includes hypertension, diabetes mellitus, cluster headaches, and basal cell carcinoma. His temperature is 98.2°F (36.8°C), blood pressure is 135/92 mmHg, pulse is 70/min, respirations are 14/min, and oxygen saturation is 94% on room air. Physical exam is notable for clear lung fields and a 3/6 systolic ejection murmur best heard at the right 2nd intercostal space. In addition, the carotid pulses are delayed and diminished in intensity bilaterally. Which of the following would most likely be seen in association with this patient’s condition?