Audio Qbank – Q60 – A 25F with shortness of breath during pregnancy

 

A 25-year-old woman at 38 weeks gestation presents to the obstetrician because of a 2-week history of increasing shortness of breath on exertion and ankle swelling. She has no abnormal health history. Transthoracic echocardiography shows an ejection fraction of 31%. What’s the most likely diagnosis?

  Antibody-mediated systolic dysfunction
  Fluid accumulation within the serous pericardium
  Mitral valvular narrowing
  Placental insufficiency leading to left ventricular failure
  Protein deposition in myocardium

Cut-to-the-chase Answer (0:33):

HY USMLE Answer (7:37):