Apical Systolic Murmur Preceded by a Click! - USMLE Forums
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Old 08-08-2011
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Stethoscope Apical Systolic Murmur Preceded by a Click!

During a physical examination for participation in a sport, a 16-year old girl is noted to have a late apical systolic murmur, which is preceded by a click. The rest of the cardiac examination is normal. She states that her mother also has some type of heart "murmur" but knows nothing else about it. Which of the following is the most likely diagnosis?
a. Atrial septal defect
b. Aortic stenosis
c. Tricuspid regurgitation
d. Mitral valve prolapse
e. Ventricular septal defect
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Old 08-08-2011
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d. Mitral valve prolapse
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Old 08-08-2011
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d. mitral valve prolapse
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Old 08-08-2011
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Answer is mitral valve prolapse
Mitral valve prolapse (also known as "click murmur syndrome" and "Barlow's syndrome") charcterized by a mid systolic click followed by a late systolic apical murmuris and is the most common heart valve abnormality, affecting 5-10% of population
(MVP) has a strong hereditary tendency and is more common in women
Mitral valve prolapse prse is usually of excellent prognosis and the only required treatment is reassurance in most cases
MVP needs extensive treatment if accompanied by mitral regurgitation or when associated with documented arrhythmias

Last edited by alaahoda2001; 08-08-2011 at 09:24 AM.
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Old 08-08-2011
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D. Mitral valve prolapsed.
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Old 08-08-2011
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Quote:
Originally Posted by akua View Post
D. Mitral valve prolapsed.
D by all means. mitral valve prolapse is the most common in USA
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Cardiovascular-, Clinical-Signs, Pathology-, Step-1-Questions

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