systolic ejection murmur

Discussion in 'USMLE STEP 2 CS' started by Nova., Apr 19, 2008.

  1. Nova.

    Nova. Guest

    A healthy 4-year-old girl is brought for a well-child examination. A grade 2/6 systolic ejection murmur is heard along the upper left sternal border. S2 is widely split and does not vary with respiration. A soft mid-diastolic murmur is heard along the lower left sternal border. Examination shows no other abnormalities.

    Which of the following is the most likely diagnosis?


    A) Aortic stenosis

    B) Atrial septal defect

    C) Coarctation of the aorta

    D) Mitral valve prolapse

    E) Patent ductus arteriosus

    F) Pulmonary stenosis
    G) Tetralogy of Fallot

    H) Transposition of the great arteries

    I) Ventricular septal defect

    J) Normal heart
  2. maxcol.

    maxcol. Guest

    The correct answer is : B) Atrial septal defect
  3. Guest

    Guest Guest

    B.Wide fixed split of S2 , always think of ASD specially in adults

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