MRCP UK EXAMINATIONS

CARDIOLOGY

EISENMENGER S SYNDROME

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
week old F. Murmur noted at 48 hours of age. Which of the following describes the MOST COMMON CONGENITAL HEART LESION?
A
Harsh holosystolic murmur best heard at the L lower sternal border
B
Loud systolic ejection murmur in the L upper sternal border, a/w RVH on EKG
C
Machine-like continuous murmur heard throughout systole and diastole
D
None of the above
Explanation: 

Detailed explanation-1: -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-2: -Grading murmurs Grade 2: The sound is as loud as the heart sounds. Grade 3: The sound is louder than the heart sounds. Grade 4: The sound is the same as grade 3 but with a palpable vibration. Grade 5: The sound is very loud, and doctors can hear it with the stethoscope barely on the chest.

There is 1 question to complete.