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Old 06-20-2011
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Heart Mitral valve prolapse question

A 23 year old woman with " skipped heartbeats" and on cardiac examination is found to have a midsystolic click followed by a late systolic murmur. Echocardiogram shows prolapse of the mitral valve. Which of the following is true about the condition?

A. Mitral valve prolapse is present in 10% of the population.
B. Mitral valve prolapse is more common in men
C. Prophylaxis against bacterial endocarditis is never recommended
D. Risk of pulmonary embolism is high
E. Ventricular arrhythmias do not occur
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Old 06-20-2011
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A Mitral valve prolapse is present in 10% of the population.

MORE in woman there is risk of arrthymia & we give endocarditis prophylaxis
PE is rare complication not high risk
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Old 06-21-2011
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There is something wrong with this question because we dont give prophilaxis anymore for MVP.
The phrophilaxis is now given for:
SIgnificant cardiac defect:
- Prosthetic valve
- Previous endocarditis
- Cardiac transplant recipient with valvulopathy
- Unrepaired cyanotic heart disease
And:
Risk of bacteremia
- Dental work with blood
- Respiratory tract surgery that produces bacteremia.

This is for MTB 2 page 32. It specifically states that Valvular heart disease incuding MVP even with murmur does not receive prophilaxis anymore so I guess it is an old question if 2 answers are right or this is the right answer and is not in 10% of the population
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Old 06-21-2011
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Answer A. Mitral valve prolapse is present in 10% of the population. It may be asymptomatic or present with sob, atypical chest pain, palpitations.
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Old 07-01-2011
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but also C true
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