Cardiac auscultation reveals accentuation of the first heart sound at the apex, accentuation of the second pulmonary sound and a presystolic murmur at

[Kathryn]

#august2020mccqe1

Cardiac auscultation reveals accentuation of the first heart sound at the apex, accentuation of the second pulmonary sound and a presystolic murmur at the apex. What is the most likely diagnosis?
(A) pulmonary stenosis
(B) mitral stenosis
(C) aortic stenosis
(D) mitral incompetence
(E) functional heart murmur