MKSAP: 46-year-old woman undergoing a dental cleaning
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus(MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and …