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: ALS involves vascular access, fluid resuscitation, and breathing support, but not every arrhythmia needs immediate intervention.

Correct Answer: D

Rationale: Scores between 13-18 indicate a serious level of drug abuse requiring intervention.

Correct Answer: A

Rationale: A history of inflicted trauma is the most direct indicator of physical abuse, though bruises and burn marks are also common signs. Intestinal injury is less frequent and typically indicates severe internal trauma.

Correct Answer: A

Rationale: Mental Health Action Signs' refers to specific guidelines or tools used by clinicians to identify early signs of mental disorders in individuals.