34. Choice D is the correct answer. Aortic regurgitation has a decrescendo diastolic murmur that is accentuated with leaning over and forcefully exhaling. It can come from rheumatic heart disease. Mistral stenosis is a diastolic murmur that is accentuated with laying on the left side. Rheumatic fever is the most common cause of that. Mitral regurgitation and aortic stenosis are systolic murmurs. Mitral regurgitation is commonly caused by rheumatic heart disease.
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