palpitations and a murmur

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arda

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Question is attached.Answer is B but i picked E thinking that she has MVP causing palpitations.

Any thought ?

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i though midsystolic click is pathognomonic for MVP.Other symptoms match thyroid disease (lid lag etc.) but i still do not get the murmur
 
MVP is more prevalent in people with Graves and the grade 2/6 early systolic murmur from the high output state.
 
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