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(Tough, but a NBME favorite...) A patient of yours (55 yrs old) named Willie Nelson comes in with a myocardial infarction that occurred 3 days prior. You hear a pansystolic murmur (WARNING: KNOW ALL YOUR MURMURS), a diastolic murmur, high left atrial pressure late in systole. What is causing this?1) Rupture of L. ventricle2) Rupture of papillary muscle3) Thrombosis4) aortic valve stenosis5) Ventricle Dilation

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Subject: Tommy's Concepts

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(Tough, but a NBME favorite...)


A patient of yours (55 yrs old) named Willie Nelson comes in with a myocardial infarction that occurred 3 days prior. You hear a pansystolic murmur (WARNING: KNOW ALL YOUR MURMURS), a diastolic murmur, high left atrial pressure late in systole. What is causing this?1) Rupture of L. ventricle2) Rupture of papillary muscle3) Thrombosis4) aortic valve stenosis5) Ventricle Dilation

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