Rheumatic Heart Disease Had in Medicine / Internal Medicine — 35yo Woman | Cardiology | SMLE Q#12331

SMLE Question #12331

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 35-year-old woman with rheumatic heart disease had a mechanical mitral valve replacement 3 years ago. She is clinically well and follows with cardiology. She is scheduled for an elective dental extraction involving manipulation of gingival tissue and the periapical region. She has no drug allergies and can take oral medications. What is the most appropriate antibiotic prophylaxis regimen to reduce the risk of infective endocarditis?

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