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NBME 16 Answers

nbme16/Block 4/Question#11 (10.6 difficulty score)
A 78-year-old man comes to the physician ...
Bacterial endocarditisπŸ”
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 +4 
submitted by maxillarythirdmolar(35),
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baja_blast  You're almost certainly right that it's mitral valve endocarditis. The murmur is accentuated by Expiration, consistent with lEft-sided murmurs. On the other hand, rIght-sided murmurs are accentuated by Inspiration. Note the capital letters for a handy trick. God Bless Dr. Jason Ryan. +2