Which of the following defects is most likely in this patient? - ProProfs Discuss
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Which of the following defects is most likely in this patient?
A 3-year-old girl is found to have a grade 4/6, loud, harsh, high-pitched holosystolic murmur that radiates over the precordium and a palpable thrill at the left sternal border.



A. Aortic regurgitation
B. Aortic stenosis
C. Atrial septal defect
D. Coarctation of the aorta
E. Mitral regurgitation
F. Mitral stenosis
G. Patent ductus arteriosus
H. Pulmonic stenosis
9. Tricuspid regurgitation
10. Ventricular septal defect

This question is part of NBME 13 Section 4 (qst 1-50)
Asked by Chachelly, Last updated: Jun 30, 2020

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2 Answers

Matz Lewis Clark

Traveler and writer by profession.

Matz Lewis Clark, College student, Graduation, Orlando

Answered May 02, 2019

There are so many choices for this question that it can be very confusing but the answer is J. Ventricular Septal Defect is a problem that occurs in the ventricular septum. This is the area that is in between the left and right ventricles of the heart.

The opening that is present in the area can be very small. Some of the openings are as small as a prick of a needle but there are also some who do not have the ventricular septum anymore. The wider the gap between the ventricles, the louder the murmur is going to be. This is not really considered to be a life-threatening disease unless it is connected to other heart defects and issues.

 

John Smith

John Smith

Answered Feb 20, 2017

Ventricular septal defect
 

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