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A 14-year-old adolescent male presents to his primary care physician with complaints of shortness of breath and easy fatigability when exercising for extended periods of time. He also reports that, when he exercises, his lower legs and feet turn a bluish-gray color. He cannot remember visiting a doctor since he was in elementary school. His vital signs are as follows: HR 72, BP 128/60, RR 14, and SpO2 97%. Which of the following murmurs and/or findings would be expected on auscultation of the precordium?
Mid-systolic murmur loudest at the right second intercostal space, with radiation to the right neck
Holodiastolic murmur loudest at the apex, with an opening snap following the S2 heart sound
Left infraclavicular systolic ejection murmur with decreased blood pressure in the lower extremities
Continuous, machine-like murmur at the left infraclavicular area
Right supraclavicular continuous murmur which disappears with pressure on the internal jugular vein
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