Arab Board IM Final Written Practice Questions - Arab Board Internal Medicine Final Written Examination Exam

Access More Questions

A 46-year-old man with active Staphylococcus aureus aortic valve endocarditis suddenly develops acute respiratory distress and severe orthopnea. On examination, his blood pressure is 95/70 mmHg, heart rate is 118 bpm, and respiratory rate is 32 breaths/min. Auscultation reveals a soft, short early diastolic murmur along the left sternal border and bilateral pulmonary rales. Transthoracic echocardiography demonstrates severe acute aortic regurgitation with large mobile vegetations and premature closure of the mitral valve in early diastole. Which of the following is the most appropriate definitive management?

Urgent surgical aortic valve replacement Intravenous nitroprusside infusion and conservative medical therapy Insertion of an intra-aortic balloon pump (IABP) Six-week course of intravenous antibiotics prior to elective surgery

Correct Answer:

Urgent surgical aortic valve replacement

Access more questions from this quiz

Continue to Arab Board IM Final Written Practice Questions - Arab Board Internal Medicine Final Written Examination Exam for more practice questions and the full quiz experience.

Access More Questions