Musuq
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A neonate has a murmur at the apex, which is a normal transient finding in up to 50% of newborns. Which of the following actions concerning informing the parents about the murmur is most appropriate?
A. Defer telling the parents and order an echocardiogram
B. Defer telling the parents because heart murmurs often resolve
C. Defer telling the parents but order a cardiology consultation
D. Tell the parents and examine the infant again in 24 hours
E. Tell the parents that this finding is normal but offer a cardiology consultation
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| robin082006
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D
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| suravi
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Robin, why do u think its D and not E. Can u explain?
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| robin082006
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There is a contradict in answer E : "normal but offer a cardiology consultation"
If Normal, nothing is needed except consultation.
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| Addicudo
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PLus the fact that Referalls are ONLY FOR OPHTHALMOLOGY .. !! Others ATLEAST ON THE STEPS ... we are supposed to deal by ourselves .. so D it is ... and Examine again in 24 hours .. is as the questions tells us that .. it is normal in 50% .. therefore abnormal in the other 50% .. !! ..
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| klimt
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agree D
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| jamdoc
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D
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