nbme 1 - mibnyc

[ArchivalUser]

37. A 6-month-old girl is brought to the physician because of poor feeding and labored breathing for2 months. She has had recurrent respiratory tract infections since birth. Examination shows a to-and-fro murmur in the second left intercostal space, a loud S2, bounding peripheral pulses, and awidened pulse pressure. Which of the following is the most likely diagnosis?
A) Atrial septal defect (ostium primum type)
B) Atrial septal defect (ostium secundum type)
C) Atrioventricular canal
D) Coarctation of the aorta
E) Hypoplastic left heart syndrome
F) Patent ductus arteriosus
G) Tetralogy of Fallot
H) Transposition of the great arteries
I) Tricuspid atresia
J) VSD

[ArchivalUser]

DD

[ArchivalUser]

Mistake, I think F

[ArchivalUser]

ff beside aortic regurgitation this congenital deffect has also wide pulse pressure,to and fro murmur,loud s2 because more blood flow from aorta to pulmonary artery

[ArchivalUser]

ff there are machinary murmur and increase pulmonary pressure,
location of the murmur also indicate the PDA.
THANKS