Arab Board Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical And Oral Examination (ABHS) Exam

Access More Questions

A 65-year-old male 4 days post-inferior STEMI suddenly develops acute respiratory distress, pulmonary edema, and hypotension (BP 72/40 mmHg). On examination, a new harsh, holosystolic murmur is loudest at the cardiac apex radiating to the axilla. Bedside echocardiogram reveals acute severe mitral regurgitation due to posteromedial papillary muscle rupture. What is the definitive emergency management strategy?

Immediate beta-blocker administration to slow heart rate Hemodynamic stabilization with afterload reduction and inotropes/mechanical circulatory support followed by emergent surgical repair Aggressive high-volume isotonic crystalloid fluid loading (4 liters) Discharge to outpatient cardiology clinic for elective valve repair

Correct Answer:

Hemodynamic stabilization with afterload reduction and inotropes/mechanical circulatory support followed by emergent surgical repair

Access more questions from this quiz

Continue to Arab Board Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical and Oral Examination (ABHS) Exam for more practice questions and the full quiz experience.

Access More Questions