The question and vignette begin after the first colon below. Restate the question from vignette  (that begins after the colon below) using as few words as possible and very concise language using a format suitable for a flash card, and be sure to phrase the question using succinct language that asks the question clearly and includes the most suggestive clues and the pathognomic findings, followed by the correct answer;  then state the 2 facts or pathognomic finding from the question stem in the  vignette  (that begins after the colon below) that are most suggestive of the correct answer;  Then, Concisely explain why these facts  from vignette  (that begins after the colon below) should immediately lead the reader to reach the correct answer(explain in a stepwise pattern using 2-4 bullet points); Vignette: A 33-year-old man comes to the office due to fatigue and decreased exercise tolerance over the past 6 months.  The patient was diagnosed with infective endocarditis in the setting of intravenous drug use a year ago and completed a course of antibiotic therapy.  He has not used drugs since then.  The patient has no other medical problems and takes no medications.  A cardiac murmur is heard on auscultation.  Both carotid arteries demonstrate a rapid rise and fall of the arterial pulse.  Partial compression of the femoral arteries by the stethoscope elicits a systolic-diastolic bruit.  Which of the following sets of pressure findings is most likely to be observed during cardiac catheterization of this patient?

A In your entire response, the letter o should appear less than 12.
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