USMLE Step 1

During a pre-participation sports physical, Sara tells the Doctor that she has Mitral valve prolapse. What should the Doctor expect to hear?

A) Continuous murmur
B) Diastolic murmur
C) Holosystolic murmur
D) Early systolic murmur
E) Mid systolic murmur

Answer: E) Mid-systolic murmur. MVP is the most frequent valvular lesion, common to young women (especially on boards). Stretching of the mitral valve causes a midsystolic click. It can lead to mitral insufficiency and predisposes patients to infective endocarditis.



check back later for your answer.

yesterday's answer:
Answer: D) PTH-like peptide. This case presents squamous cell carcinoma. There is an increased risk for smokers. It is also secretes PTH-like peptide (not PTH itself) which causes hypercalcemia. Don’t be surprised to see this trick question on your boards.