Audio Qbank – HY USMLE Q #401 – Cardio / Internal medicine

A 25-year-old man comes to the physician for a 2-week history of intermittent left-sided chest pain. He describes the chest pain as fleeting. He has no shortness of breath or cough. His uncle had a myocardial infarction at age 38. Vitals are within normal limits. Lungs are clear to auscultation. Cardiac examination shows a mid-systolic click. There is no tenderness of the chest wall. Pulse oximetry is 97%. ECG shows no abnormalities. Which of the following is the most appropriate next step in management?

Ambulatory ECG monitoring
Chest x-ray
Propranolol
Reassurance
Transesophageal echocardiography
Transthoracic echocardiography