<prompt> All of the following clinical finding are consistent with severe mitral stenosis EXCEPT-Atrial fibrillationPulsatile liverOpening snap late after S2Pulmonary vascular congestion  <response>: In severe Mitral Regurgitation, Clinical features are : Atrial fibrillation, Pulsatile liver, Pulmonary vascular congestion. In atrial fibrillation, First hea sound is loud and can be palpabletapping apex. An opening snap may be audible and moves closer to the second sound as the stenosis becomes more severe and left atrial pressure rises. Reference : Davidson, 23rd Edition, page no : 518. 