25th February 2025

A 40-year-old man is seen in rheumatology clinic describing long-standing lower back pain and buttock pain, which can affect either side.

A 40-year-old man is seen in rheumatology clinic describing long-standing lower back pain and buttock pain, which can affect either side. This back pain is often worse in the morning and slowly improves with stretching during the day. It is affecting his ability to work. On examination, he is noted to have reduced flexion in the spine, and also a murmur. Which murmur is most likely to be heard?

Select the SINGLE most appropriate option from the list below. Select ONE option only.