Heartsaver First Aid Part I Progress Indicator: Question 3 of 22 3.  You’re evaluating a 25-year-old woman who presents with palpitations.  On examination, you hear a midsystolic click.  Which one of the following would you recommend concerning evaluation of her heart condition? Choices: She should be screened for major depressive disorder. She should be screened for a bleeding diathesis. She should be screened for rheumatic fever. Her murmur would decrease with a Valsalva maneuver. She may need a beta blocker if the palpitations continue.