ssrpk
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In mitral valve prolapse, you would expect the ejection click to be more accentuated and the murmur to move closer to first heart sound in a pt.
a) with marked anxiety
b) who is pregnant
c) passive leg lifting in the supine position
d) on a beta blocker
e) who is squatting
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| sethigulshan
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on a beta blocker
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| ssrpk
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try again
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| chemamr
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a?
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| sethigulshan
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Don't know ssrpk, I thought I was correct!
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| Addicudo
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E)
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| chemamr
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we have a D), E) and an A) 
Come on ssrpk!!! which is the answer?
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| ssrpk
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remember in case of IHSS and mitral valve prolapse, increasing the preload reults in clinical improvement; also reduces the intensity of the murmur because of more blood volumel; among the choices realize tht all of them will result in inc. venous return and so will inc. the preload as well except a- anxiety (inc HR --> dec. preload)
answer is a
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| chemamr
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thatīs it .
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