Mitral stenosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 62-year-old man is referred to the cardiology clinic after moderate mitral stenosis was diagnosed by echocardiogram during a recent hospitalization for a cerebrovascular accident. Inpatient echocardiogram showed a negative bubble study, trace tricuspid regurgitation, and moderate mitral stenosis. The patient was discharged one month ago from the hospital on aspirin and clopidogrel and has finished the course of clopidogrel. Today, he reports no chest pain, shortness of breath, or orthopnea. Temperature is 37.0ºC (98.6ºF), pulse is 45/min, respiratory rate is 12/min, and blood pressure is 110/74 mmHg. Cardiac exam reveals an irregularly irregular rhythm and a diastolic rumble with a loud S1. Pulmonary and extremity exams are within normal limits. In-office electrocardiogram shows atrial fibrillation (AF). Which of the following is the most appropriate next step in management? 

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