USMLE Step 1 QUESTION of the DAY!

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

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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.



USMLE Step 1 D.O.C. of the DAY!

Drug of choice for

Vibrio cholerae causing cholera

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Tetracycline



FACT of the DAY!

Defective enzymes Part II:
Pompe’s disease: alpha 1,4-glucosidase
Galactosemia: Galactose-1-phosphate uridyl transferase
Phenylketonuria: Phenylalanine hydroxylase
Maple Syrup Urine Disease: branched chain alpha-ketoacid dehydrogenase