Regarding large ventricular septal defect (VSD), one of the following is true

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Question 1 of 5

Regarding large ventricular septal defect (VSD), one of the following is true

Correct Answer: B

Rationale: A VSD murmur is holosystolic and shares characteristics with mitral regurgitation, typically best heard at the left lower sternal border.

Question 2 of 5

The following signs are more in favor of circulatory failure Except:

Correct Answer: B

Rationale: Marked tachypnea with recessions is more indicative of respiratory failure rather than circulatory failure.

Question 3 of 5

Osteitis may be a feature of one of the following transplacental infections

Correct Answer: A

Rationale: Cytomegalovirus can cause osteitis in affected infants. Herpes simplex virus, varicella-zoster virus, and rubella are less commonly associated with bone involvement.

Question 4 of 5

A 2-year-old child with failure to thrive, recurrent wheezing, and pulmonary infections. Of the following, the LEAST common cause of his illness is

Correct Answer: A

Rationale: Asthma is less likely to cause failure to thrive compared to aspiration, food allergy, cystic fibrosis, or immunodeficiency, which directly affect nutrition and respiratory function.

Question 5 of 5

The best initial treatment for transient tachypnea of the newborn (TTN) is:

Correct Answer: C

Rationale: TTN is caused by delayed clearance of fetal lung fluid, leading to mild respiratory distress. Oxygen therapy and CPAP help maintain oxygenation while the condition resolves within 24-72 hours without requiring aggressive intervention.

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