The Correct Answer is A!

Knowledge to Practice, in collaboration with Mayo Clinic, offers online board review and lifelong learning products in Cardiovascular Medicine. With a full pre-assessment, you can identify the topics you’ve mastered and focus your time on topics where you need it the most. Our products have been shown to increase knowledge 75% more than traditional methods in less time.1

Question:

Based upon the changes in loading conditions during pregnancy, which of the following valve diseases is best tolerated?

  1. Mitral valve prolapse with mitral regurgitation
  2. Rheumatic mitral stenosis
  3. Congenital pulmonic stenosis
  4. Bicuspid aortic valve with aortic stenosis

Answer Rationale:

During pregnancy there is a progressive increase in blood volume to increase preload as well as a decrease in afterload. Thus, the regurgitant lesions are relatively well tolerated during pregnancy as opposed to the stenotic lesions.

1.  Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.