10-09-2007, 01:33 PM
A 42-year-old woman, gravida 2, para 2, has had
increasing
fatigue, dyspnea, orthopnea, and paroxysmal nocturnal
dyspnea over the past
2 days. She has had several episodes of hemoptysis;
she had one
episode of pulmonary edema during pregnancy 2 years
ago. A loud S1, a
snapping sound in diastole, and a rumbling diastolic
murmur are heard at the
apex. Which of the following is the most likely cause
of her
condition?
A
) Atrial myxoma
B
) Bicuspid aortic valve
C
) Postpartum cardiomyopathy
D
) Rheumatic heart disease
E
) Viral myocarditis
increasing
fatigue, dyspnea, orthopnea, and paroxysmal nocturnal
dyspnea over the past
2 days. She has had several episodes of hemoptysis;
she had one
episode of pulmonary edema during pregnancy 2 years
ago. A loud S1, a
snapping sound in diastole, and a rumbling diastolic
murmur are heard at the
apex. Which of the following is the most likely cause
of her
condition?
A
) Atrial myxoma
B
) Bicuspid aortic valve
C
) Postpartum cardiomyopathy
D
) Rheumatic heart disease
E
) Viral myocarditis