Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical And Oral Examination (ABHS) Exam

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During a bedside clinical examination of a 55-year-old woman with peripheral edema and a pansystolic murmur at the lower left sternal edge, you suspect tricuspid regurgitation rather than mitral regurgitation. Which physical examination finding best differentiates tricuspid regurgitation from mitral regurgitation?

Murmur radiation to the left axilla Augmentation of murmur intensity during inspiration (Carvallo sign) Augmentation of murmur intensity during the strain phase of the Valsalva maneuver Accentuation of the murmur in the left lateral decubitus position

Correct Answer:

Augmentation of murmur intensity during inspiration (Carvallo sign)

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