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Kaplan Qbank USMLE



Author7 Posts
  #1

a 2yr old , active , asymptomatic boy is examind for the first time.bp is 130/80 in the right arm with a barely palpable rt femoral pulse.the most likely finding in the remainder of physical exam. is

A pale, bluish discoloration of lower extremities.
B rib notching on cxr
C an ejection click of a bicuspid aortic valve.
D a normal left femoral pulse

  #2

B...

  #3

its c asmi. i had gone for b too but that appears later

  #4

can u explain it plz ?

i think since the child is 2 yrs age and asymptomatic ..u go for C ,otherwise B. Am i right ?

  #5

yes it is c ..the question is physical finding not xray finding.
rib notching is an xray finding
and upto88% of aortic coarctation is assosiated witha bicuspid aortic valve..
iewhy c is the answer whttp://www.medicine.uottawa.ca/radiolog/eng/teachingfile/cardio/Case17/Case.htmlhy ejection click the answer

  #6

thanks minu

  #7

thanks minu...my mistake of not reading Q well :oops:







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