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?
Understand the Problem
The question is asking for the most appropriate diagnostic test to evaluate a 45-year-old woman with shortness of breath and a medical history of asthma and moderate mitral regurgitation. It requires knowledge of which diagnostic test is best suited for her condition based on provided symptoms and findings.
Answer
Transthoracic echocardiogram
The most appropriate diagnostic test is B. Transthoracic echocardiogram.
Answer for screen readers
The most appropriate diagnostic test is B. Transthoracic echocardiogram.
More Information
A transthoracic echocardiogram is a non-invasive test that provides detailed images of the heart's structure and function, making it essential for evaluating conditions like mitral regurgitation.
Tips
A common mistake is choosing spirometry or CT, which don't primarily assess heart murmurs.
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