Gross Anatomy USMLE Step 1 Practice Question
A 5-month-old female has fatigue on exertion. She was born at full-term with a birth weight of 9 lb and had an uncomplicated perinatal period. She has been bottle-fed, and there have been no feeding problems. She is alert and appears well. Physical examination reveals a loud holosystolic murmur in the left parasternal region with an associated systolic thrill. The first and second heart sounds are normal. There is no gallop or diastolic murmur. Her blood pressure is normal in all 4 extremities, and she has palpable peripheral pulses. There is no peripheral edema or cyanosis. Which of the following is the most likely diagnosis?
Answer choices
- AVentricular septal defectCorrect answer
- BAtrial septal defect
- CPatent ductus arteriosus
- DPatent foramen ovale
- EPulmonic stenosis
- FCoarctation of the aorta
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