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+--- Thread: q 3 - demi (/showthread.php?tid=438042)
q 3 - demi - ArchivalUser - 08-15-2009
A 52-year-old woman from India is referred to your office by her dentist. She states that she was told as a teenager that she had a "heart murmur." On further questioning, she complains of having episodes of shortness of breath that worsens on exertion. Physical examination is significant for a widely split S2 and an additional diastolic sound followed by a mid-diastolic rumbling murmur. This is best heard at the fourth intercostal space at the left sternal border. The chest x-ray shows straightening of the left heart border. What is appropriate as the initial treatment of this patient?
(A) Balloon valvotomy
(B) Digoxin
© Surgical repair
(D) ACE inhibitors
(E) Diuretics
0 - ArchivalUser - 08-15-2009
EE
0 - ArchivalUser - 08-15-2009
aa
0 - ArchivalUser - 08-15-2009
EE