<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 14-year-old male presents to his primary care physician with complaints of shortness of breath and easy fatigability when exercising for extended periods of time. He also reports that, when he exercises, his lower legs and feet turn a bluish-gray color. He cannot remember visiting a doctor since he was in elementary school. His vital signs are as follows: HR 72, BP 14865, RR 14, and SpO2 97. Which of the following murmurs andor findings would be expected on auscultation of the precordium?? A: Mid-systolic murmur loudest at the right second intercostal space, with radiation to the right neck, B: Holodiastolic murmur loudest at the apex, with an opening snap following the S2 heart sound, C: Left infraclavicular systolic ejection murmur with decreased blood pressure in the lower extremities, D: Continuous, machine-like murmur at the left infraclavicular area, E: Right supraclavicular continuous murmur which disappears with pressure on the internal jugular vein,  <response>: This is a clinical case scenario involving a 14-year-old male with symptoms of shortness of breath and easy fatigability with exercise, as well as bluish-gray discoloration of his lower legs and feet when exercising. The key findings in the history and physical exam that point to a likely diagnosis are the dyspnea and fatigability with exercise, the bluish-gray discoloration of the lower extremities with exercise suggestive of cyanosis, and a lack of regular medical carevisits since childhood. The vital signs show a normal heart rate, mildly elevated blood pressure, normal respiratory rate, and normal oxygen saturation. The question asks which heart murmur andor physical exam findings would be expected on cardiac auscultation.Options A and B describe murmurs unlikely to be associated with this clinical presentation an asymptomatic mid-systolic murmur and holosystolic murmur respectively. Option C describes a systolic ejection murmur in the left infraclavicular area along with decreased blood pressures in the lower extremities, which could indicate aortic outflow obstruction and coarctation of the aorta. This would fit with the patients symptoms.Option D describes a continuous murmur in the left infraclavicular area concerning for a patent ductus arteriosus. This could also explain the patients symptoms. Option E describes a right supraclavicular continuous murmur that disappears with pressure on the internal jugular vein, which would indicate a venous hum rather than a cardiac murmur.Based on the clinical presentation, the expected physical exam findings would be either option C or D.D: Continuous, machine-like murmur at the left infraclavicular area 