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NBME 16 Answers

nbme16/Block 4/Question#11

A 78-year-old man comes to the physician because of ...

Bacterial endocarditis

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You should be thinking of something like Enterococcus. They had a GU procedure and subsequent cardiac issues.

When I hear soft S1, i think that the patient must have had a issue with the closing of either the mitral or tricuspid valves. Playing odds, this should be the mitral valve. You also here an early diastolic murmur, so you might be thinking volume overload (S3).