A 45-year-old woman is evaluated for a 3-week history of progressive shortness of breath that limits her activities. Medical history is significant for asthma and moderate mitral r... A 45-year-old woman is evaluated for a 3-week history of progressive shortness of breath that limits her activities. Medical history is significant for asthma and moderate mitral regurgitation. Her only medication is an albuterol inhaler as needed. On physical examination, her vital signs are normal. Cardiac examination reveals a grade 3/6 holosystolic murmur radiating to the axilla. Which of the following is the most appropriate diagnostic test? A. Spirometry B. Transthoracic echocardiogram C. Transesophageal echocardiogram D. Helical (or spiral) computed tomography (CT) of the chest.

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Understand the Problem

The question presents a clinical scenario involving a 45-year-old woman with respiratory issues and asks for the most appropriate diagnostic test given her symptoms and medical history.

Answer

Transthoracic echocardiogram.

The final answer is Transthoracic echocardiogram.

Answer for screen readers

The final answer is Transthoracic echocardiogram.

More Information

A transthoracic echocardiogram is non-invasive and effectively evaluates heart function and valve issues like mitral regurgitation.

Tips

A common mistake is choosing spirometry, which is primarily for assessing respiratory conditions rather than cardiac issues.

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