 |  cardio Q 4
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| Author | 8 Posts |
nadiabarati
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A slim, healthy 30 year old woman is scheduled for a dental prosthodontic procedure and was sent for medical evaluation of a known history of mitral valve prolapse (MVP). The patient is a highly active individual and denies palpitation, chest pain, or shortness of breath. She admits to having a family history of heart disease, notably her father, who had died of a heart attack in his forties, and her mother, who had mitral valve prolapse. On physical exam, the patient is comfortable and has normal vital signs. Auscultation of the heart reveals a normal S1 and S2 and a prominent midsystolic click, which is accentuated in the standing position. No systolic murmur is appreciated. What is your overall assessment and plan for this patient? A. Gen an echocardiogram to evaluate mitral valve motion and blood flow prior to clearing her for the procedure.
B. Prescribe empiric antibiotics for endocarditis prophylaxis and clear her for the procedure.
C. Get a cardiology consultation prior to medical clearance because the patient has a significant family history of heart disease.
D. Clear her for the procdure without endocarditis prophylaxis.
E. Clear her for the procedure with endocarditis prophylaxis.
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| luabe
Forum Junior
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D....
MVP without complications doesn't require Endocarditis prophylaxis
anybody else?
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| study_ing
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a sounds safe though.
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| robin082006
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A
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| tolito
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A.
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| nadiabarati
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D no systolic murmur so it means no MR.
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| Guptashutosh
Forum Elite
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how do u explain the mid systolic click then, i think u need to do an echo to rule out the cause.... studying might be correct
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| study_ing
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http://www.prep4usmle.com/forum/thread/41874
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