Which is true regarding large ventricular septal defect (VSD)?

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Question 1 of 5

Which is true regarding large ventricular septal defect (VSD)?

Correct Answer: B

Rationale: Large VSDs typically present with symptoms like heart failure and failure to thrive within 1-3 months of age.

Question 2 of 5

A 6-year-old male patient presented with microcephaly, microphthalmia, absent thumb, ectopic kidney & recurrent epistaxis. The most informative diagnostic test explaining the underlying etiology is:

Correct Answer: A

Rationale: Chromosomal breakage test is used in disorders like Fanconi anemia, which is associated with congenital abnormalities, bone marrow failure, and increased cancer risk.

Question 3 of 5

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.

Question 4 of 5

A 10-year-old girl with lobar pneumonia has a history of reaction to cefaclor and a family history of penicillin anaphylaxis. What is the most appropriate antibiotic?

Correct Answer: C

Rationale: Clindamycin is the safest alternative for severe pneumonia in patients with a history of severe beta-lactam allergy.

Question 5 of 5

Heimlich maneuver is:

Correct Answer: C

Rationale: The Heimlich maneuver involves abdominal (epigastric) thrusts to expel an obstructing object from the airway by creating an artificial cough.

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