Valvular Heart Disease USMLE Step 1 Practice Question
A 69-year-old man with metastatic pancreatic adenocarcinoma presents with transient right arm weakness resolving within 20 minutes. Vital signs: BP 128/76 mmHg, HR 88 bpm, RR 16, temp 37.2°C, SpO2 98% on room air. He denies fever. Echocardiography demonstrates small sterile vegetations along the mitral valve closure line. Prothrombin time is normal. Which of the following is the most likely diagnosis?
Answer choices
- ANonbacterial thrombotic endocarditisCorrect answer
- BRheumatic valvulitis
- CAcute infective endocarditis
- DCarcinoid valvular disease
- ELibman Sacks endocarditis
- FMarantic endocarditis secondary to advanced liver cirrhosis
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