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HISTORY: 9 year old mixed breed dog with IV/VI heart murmur. Dental prophylaxis is scheduled for next week.
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Successful candidates managed to indicate the correct valves and chambers involved. Some candidates suspected that the shape of the valves was too irregular to simply be due to degeneration. “Good” and “fair” candidates prioritized endocarditis over degeneration. “Fair” to “poor” candidates either completely failed to consider degeneration or failed to correctly identify anatomic regions (most commonly, the LVOT was incorrectly identified). “Poor” candidates only considered endocarditis (giving the patient a GRAVE prognosis) or did not correctly identify ANY normal anatomy (LVOT as a ventricular septal defect and the mitral valve labeled as a tricuspid valve).
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