A 38-year-old woman comes to the office for a periodic health maintenance examination. She has no co

Discussion in 'Step 3' started by samuel, Dec 19, 2014.

  1. samuel

    samuel New Member

    A 38-year-old woman comes to the office for a periodic health maintenance
    examination. She has no complaints and no past medical history. You notice that she
    has a new 3/6 holosystolic murmur that radiates to the axilla. She was told once as a
    young child that she may have a "prolapsed valve" but she never received any
    additional information or care for that condition. The most appropriate management at
    this time is to
    A. draw 2 sets of blood cultures
    B. initiate captopril therapy
    C. order a transesophageal echocardiogram
    D. order a transthoracic echocardiogram
    E. refer the patient to a cardiac surgeon

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