hanialkhadher
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35 y female who engages in aerobic exercises without difficulty,On routine physical exam she was found to have a systolic murmur in2nd lt intercostal space 2/6 , S1 is normal , S2 wide& fixed split .
Which of the following is true about her condition:
A-It will have no consequences if left untreated.
B-It was developed during childhood.
C-It maybe associated with bony abnormalities in limbs.
D-It may lead to Vent. arrythmia.
E-Increased risk for infective endocarditis.
Edited by hanialkhadher on 06/07/07 - 05:28 PM
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| cirus
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a
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| new_n_lost
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E-Increased risk for infective endocarditis
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| virgola82
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yes, I think E too
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| cirus
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ASD has no risk for endocarditid, thats why we don'y give prophylaxis
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| prathapdoctor
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i think it may be associated with some bony abnormalities.
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| new_n_lost
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yes its ASD and yes i was thinking on the basis of Pathology of it as i havent studied for Step 2 and yes the answer shud be A
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| hanialkhadher
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the only right choice is C-It maybe associated with bony abnormalities in limbs,like holt -oram syndrome. all others are distractors .
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| elitoki
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Holt-Oram syndrome. also called heart-hand syndrome wich is autosomal dominant. Upper limb abnormalities present with ASD and Thumb abnormalities are most frequent manifestation.
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very interesting syndrome, I didn't hear about that~ Thanks.
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| dr in trouble
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For ASD u shud treat it surgically which is not the case in VSD, and there is usually no endocarditis prophylaxis but for primum type ASD. I think it can b C
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