Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

Correct Answer: A

Rationale: Mitral valve stenosis causes a mid-diastolic rumbling murmur due to turbulent blood flow across the narrowed mitral valve. It is best heard at the apex and sometimes radiates to the left sternal border.

Correct Answer: D

Rationale: Research indicates that approximately 90% of youths who complete suicide have an underlying psychiatric illness, highlighting the critical link between mental health and suicide risk.

Correct Answer: C

Rationale: Immediate resuscitation with mouth-to-mouth breathing is critical to restoring oxygenation in drowning victims before considering other measures.

Correct Answer: B

Rationale: Turner syndrome typically presents with lymphedema rather than generalized edema. Hydrops fetalis, congenital nephrosis, and Hurler syndrome are all associated with significant fluid retention and generalized edema.

Correct Answer: A

Rationale: These behaviors are classified as habit disorders, which often serve as self-soothing mechanisms to relieve tension or anxiety. They are not necessarily indicative of poor parenting or tics.