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Review Question - QID 212866

Cardiac Cycle Heart Sounds S3 QID: 212866 (M1.OMB.19.1)
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QID 212866 (Type "212866" in App Search)
A 64-year-old man presents to the emergency department because he has been experiencing increased shortness of breath for the last 2 weeks. Specifically, he says that he can barely walk up the stairs to his apartment before he feels winded. In addition, he has been waking up at night gasping for breath and has only been able to sleep propped up on 2 more pillows than usual. Physical exam reveals jugular venous distention as well as pitting lower extremity edema. Transthoracic echocardiography reveals a left ventricular end diastolic diameter of 7.1 cm (normal <6.0 cm) with normal left ventricular wall thickness. Which of the following abnormal sounds will most likely be heard in this patient?
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