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Old 09-25-2012
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Default most appropriate management for MVP

During a screening physical examination for
participating in high school sports, a 14-yearold
girl is found to have a late apical systolic
murmur preceded by a click. The rest of the
examination is unremarkable. Echocardiography
shows superior displacement of the mitral
leafl ets of >2 mm during systole into the left
atrium, with a thickness of at least 8 mm. In
addition, she states that her father also has
some type of heart “murmur,” but she knows
nothing else about it. Which of the following is
the most appropriate management at this time?

(A) Digoxin
(B) Instruct the patient to avoid all forms of
strenuous activity
(C) Metoprolol
(D) Mitral valve replacement
(E) Prophylactic antibiotics for dental procedures
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Old 09-25-2012
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(B) Instruct the patient to avoid all forms of
strenuous activity
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Quote:
Originally Posted by Novobiocin View Post
(B) Instruct the patient to avoid all forms of
strenuous activity
Kindly explain plz
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Old 09-25-2012
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She is asymptomatic so doesn't require any medication,
Valve replacement is only done in severe MR.
Prophylaxis is no longer recommended in MVP, even with MR
The only recommendation can be (B) since you want to avoid the progression of MVP to MR & other complications.
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Quote:
Originally Posted by Novobiocin View Post
She is asymptomatic so doesn't require any medication,
Valve replacement is only done in severe MR.
Prophylaxis is no longer recommended in MVP, even with MR
The only recommendation can be (B) since you want to avoid the progression of MVP to MR & other complications.
YESSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS
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Old 09-26-2012
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WHY not (E) ?
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