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Review Question - QID 214394

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QID 214394 (Type "214394" in App Search)
A 71-year-old man presents to his physician for episodes of fainting. He reports that prior to fainting he experiences lightheadedness. He regains consciousness within 20 seconds after fainting without any bowel or bladder incontinence, abnormal movements, or tongue biting. He also experiences chest pain and shortness of breath with exertion, which often improves with rest. He has a medical history of hypertension, hyperlipidemia, and asthma. Physical examination is notable for a systolic ejection murmur heard best at the right upper sternal border. Which of the following physical examination findings is suggestive of severe cardiac disease in this patient?
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