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CCRN EXAM Test
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Question Number 10
A patient complains of sudden dyspnea 5 days S/P acute MI (ST elevation in II, III, and aVF, with ST depression in I and aVL). The patient is anxious, diaphoretic, and hypotensive. Examination reveals the development of a loud holosystolic murmur at the apex. What is the most likely cause of this patient's deterioration?
(A) right ventricular failure related to right ventricular MI
(B) ventricular septal defect
(C) left ventricular failure due to extension of MI
(D) acute mitral regurgitation due to papillary muscle rupture or dysfunction
✔ Correct Answer:
(D) acute mitral regurgitation due to papillary muscle rupture or dysfunction
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