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Review Question - QID 100727

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QID 100727 (Type "100727" in App Search)
A 40-year-old Indian female is hospitalized with exertional dyspnea and lower extremity edema. The patient immigrated to the United States at age 15 and does not use tobacco, alcohol, or drugs. A mid-diastolic murmur is present and heard best at the apex. Which of the following symptoms would be most consistent with the rest of the patient’s presentation?