A patient has myocardial infarction on his health records. A nurse observes that the patient suddenly develops a loud systolic murmur. What might have caused this condition?
  1. pulmonary embolism
  2. congestive heart failure
  3. ruptured papillary muscle
  4. increased systemic vascular resistance
Explanation
Answer: C - A patient with myocardial infraction and experiencing sudden and loud systolic murmur may be experiencing this due to ruptured papillary muscle. Diagnosis of papillary muscle rupture is secondary to myocardial infarction.
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