This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Murmurs, Subject name: Medicine
[{'content': "A 25-year-old male who is IV drug user presents with a 3-week history of worsening lethargy and confusion. O/E- PR: 130bpm and BP: 120/80. CVS examination: raised JVP with large v-waves and a loud systolic murmur. A palpable, pulsatile liver is felt when hepato-jugular reflex is attempted. What type of murmur is most fitting with this patient's presentation? \nSelect and explain. \nA. Functional murmur, B. Tricuspid stenosis, C. Pulmonary stenosis, D. Tricuspid regurgitation", 'role': 'user'}, {'content': 'Answer: D \nExplanation: SIGN OF TRICUSPID REGURGITATION : Large V wave Loud systolic murmur Pulsatile liver Note: - When you read pulsatile liver think in terms of TR = MCC of TR is Functional TR', 'role': 'assistant'}]