34. Your patient is a 54 year old female that presents with dyspnea on exertion, paroxysmal nocturnal dyspnea and fatigue. Her vitals are normal. She has not chest pain or shortness of breath at rest. Her EKG is normal. Physical exam reveals a diastolic murmur that is accentuated with the patient leaning over and exhaling. Which of the following is the most likely diagnosis?
A. Aortic Stenosis
B. Mitral Stenosis
C. Mitral Regurgitation
D. Aortic Regurgitation
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