NP Certification Q&A

24 Year Old Woman With Heart Murmur Inquiring About Contraception

May 25, 2026·11 min
Episode Description from the Publisher

A 24-year-old woman presents for a well-adult visit. Her health history includes the diagnosis of mitral valve prolapse without significant mitral regurgitation. She is feeling well, has no chief complaint, and denies activity intolerance, stating she plays tennis or pickleball for about one hour three to four times a week. Her only medication is an oral combined hormonal contraceptive and reports being pleased with her contraceptive method. She states that she read online that “I know I have...

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