09-17-2006, 07:15 PM
37. A 6-month-old girl is brought to the physician because of poor feeding and labored breathing for 2 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 a widened 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
) Ventricular septal defect
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
) Ventricular septal defect