month-old male. History of moderate-size ventricular septal defect. Feeding poorly for the last few days. During feedings the infant coughs and SOB. Mild subcostal retractions. Fine bilateral crackles. Precordium active. Grade 3/6 holosystolic murmur, maximal at lower left sternal border. Liver palpable 3 cm below right costal margin.The medication MOST likely to provide significant clinical improvement is oral:

CARDIOLOGY

Please wait while the activity loads.
If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A	Captopril
B	Carvedilol
C	Digoxin
D	Furosemide
E	Spironolactone

Explanation:

Detailed explanation-1: -In babies with a ventricular septal defect, blood often flows from the left ventricle through the ventricular septal defect to the right ventricle and into the lungs. This extra blood being pumped into the lungs forces the heart and lungs to work harder.

Detailed explanation-2: -Try to use a soft, special nipple made for babies born early. These nipples make it easier for your baby to get enough formula or breast milk if you bottle-feed. Burp your baby a lot, especially when using a bottle. Babies who have trouble sucking take in large amounts of air when they eat.

Detailed explanation-3: -Slow or no physical growth (failure to thrive) Fast breathing or breathlessness. Easy tiring. Whooshing sound when listening to the heart with a stethoscope (heart murmur)

Detailed explanation-4: -Ventricular septal defect is a common congenital heart defect. The baby may have no symptoms and the hole can close over time as the wall continues to grow after birth. If the hole is large, too much blood will be pumped to the lungs. This can lead to heart failure.

There is 1 question to complete.

CLINICAL MEDICINE

MEDICINE

CARDIOLOGY