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BOF: 132

A 42 year old female who is known to have mitral valve prolapse presents with sudden onset of chest pain and dyspnoea.

On examination she is breathless, has a tachycardia, a systolic murmur at the apex and bibasal crepitations heard on auscultation of her lungs

Chest X-ray shows pulmonary oedema

In this patient the most likely diagnosis is:

a)    Ruptured sinus of Valsalva

b)    Acute mitral regurgitation

c)     Ventricular septal defect

d)    Myocardial infarction

e)    Pulmonary embolism

 

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