A 50-year-old male,with a history of rheumatic fever, complains of dyspnea, fatigue, and cough. Auscultation of the chest reveals rales in the lungs. Auscultation also reveals a soft systolic and diastolic decrescendo from the second to the fourth left intercostal space radiating to the apex and right sternal border. Based on the presentation and physical examination, which of the following is the proper diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 50-year-old male,with a history of rheumatic fever, complains of dyspnea, fatigue, and cough. Auscultation of the chest reveals rales in the lungs. Auscultation also reveals a soft systolic and diastolic decrescendo from the second to the fourth left intercostal space radiating to the apex and right sternal border. Based on the presentation and physical examination, which of the following is the proper diagnosis?






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