MEDICINE
CARDIOLOGY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Harsh holosystolic murmur best heard at the L lower sternal border
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Loud systolic ejection murmur in the L upper sternal border, a/w RVH on EKG
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Machine-like continuous murmur heard throughout systole and diastole
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None of the above
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Detailed explanation-1: -The most common signs and symptoms seen for a newborn with tetralogy of Fallot include: 1) a loud heart murmur (systolic ejection murmur at the left upper sternal border due to pulmonic stenosis and/or holosystolic murmur at the left mid sternal border due to a ventricular septal defect); and 2) cyanosis.
Detailed explanation-2: -Pulmonary stenosis is a systolic murmur best heard at the upper left sternal border and commonly associated with tetralogy of Fallot, carcinoid syndrome, congenital rubella syndrome, and Noonan syndrome. This diastolic murmur best heard at the lower left sternal border.
Detailed explanation-3: -Pulmonary flow murmur or peripheral pulmonary stenosis (PPS) Typically heard at 1 to 2 months of age, PPS occurs when a baby is born with small pulmonary blood vessels. Pulmonary blood vessels lead to the lungs. Most PPS cases go away as the child grows.
Detailed explanation-4: -Innocent Heart Murmurs The most common type of heart murmur is called functional or innocent. An innocent heart murmur is the sound of blood moving through a healthy heart in a normal way.