Congenital Heart Disease USMLE Step 1 Practice Question
A 5-year-old girl with Turner syndrome presents with persistent hypertension (BP 142/88 mmHg in upper extremities, 98/62 mmHg in lower extremities), heart rate 92/min, and a continuous systolic murmur over the left infraclavicular region and back. She denies chest pain or syncope. Chest X-ray shows mild left ventricular hypertrophy. She takes no cardiac medications. Which of the following is the most likely diagnosis?
Answer choices
- AMitral regurgitation
- BCoarctation of the aortaCorrect answer
- CPatent ductus arteriosus
- DPulmonary stenosis
- EAortic stenosis
- FInterrupted aortic arch
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