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NBME 23 Answers
A 43-year-old woman comes to the physician because ...
Left atrial myxoma
Left atrial myxoma can mimic mitral stenosis (thus diastolic murmur)
RVOT obstruction would cause a systolic murmur that gets louder when standing, not diastolic.
Sorry, you narrowed it down to HOCM, MVP, and LA myoxma, but I only see LA myxoma as an answer choice. Wouldn't you have been able to stop right there?