Congenital Heart Disease USMLE Step 1 Practice Question
A 16-year-old male is found to have a blood pressure of 160/95 mmHg in both upper extremities and 120/70 mmHg in the lower extremities. He has diminished femoral pulses and reports intermittent claudication in his legs during football practice. Cardiac auscultation reveals an ejection systolic murmur at the right upper sternal border. Which of the following is the most likely diagnosis?
Answer choices
- AAortic stenosis from bicuspid aortic valve
- BTakayasu arteritis
- CCoarctation of the aortaCorrect answer
- DInterrupted aortic arch
- EAtrial septal defect
- FMarfan syndrome with aortic root dilatation
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