#july2020mccqe1
During a screening physical examination for participating in high school sports, a 14-year- old 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 leaflets 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
During a screening physical examination for participating in high school sports, a 14-year- old 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 leaflets 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