USMLE Step 1 - Question 47

A 36 year old female with no significant past medical history is being evaluated for increasing shortness of breath. Her physical examination reveals a II/IV early diastolic decrescendo murmur occurring after an early diastolic opening snap. Which of the following is the ideal therapy for her cardiac disorder?

A. Observation

B. Angiotensin converting enzyme inhibitor

C. Surgical mitral valve repair

D. Mitral valve balloon valvotomy