Pharmacology · single question

Which cardiac condition does NOT require antibiotic prophylaxis before invasive dental procedures under current AHA guidelines?

  1. Prosthetic heart valve
  2. Previous infective endocarditis
  3. Mitral valve prolapse
  4. Unrepaired cyanotic congenital heart disease
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Correct answer: C. Mitral valve prolapse

Under the current AHA guidelines mitral valve prolapse (even with regurgitation) is NOT on the list of conditions requiring prophylaxis; prophylaxis is reserved for the highest-risk conditions only.Other options: Prosthetic valves, prior infective endocarditis, and unrepaired cyanotic congenital heart disease are all high-risk conditions that DO require prophylaxis.Key exam takeaway: Only 4 categories need prophylaxis: prosthetic valve, prior IE, certain congenital heart defects, and cardiac transplant with valvulopathy. MVP is not one of them.

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