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Kaplan Qbank USMLE



Author9 Posts
  #1

A diabetic mother gives birth to a baby who dies in the first week of life. Autopsy reveals a severe cardiac malformation.

Which of the following is the most likely diagnosis?

A. Atrial septal defect
B. Coarctation of the aorta
C. Eisenmenger's syndrome
D. Tetralogy of Fallot
E. Transposition of the great arteries


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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."

  #2

E


  #3

E

  #4

Diabetic mothers-->MC cardiac malformation--> transposition of great vessels vessels


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  #5

A or E?? i'm thinking E

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  #6

E


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  #7

E


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  #8

keepgoing wrote:
Diabetic mothers-->MC cardiac malformation--> transposition of great vessels vessels

nodnod See you guys are better prepared than i am.

___________________
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."

  #9

The correct answer is E.

Maternal diabetes is best known for causing large but immature-for-age babies. There is also a specific association between maternal diabetes and transposition of the great vessels. In transposition of the great vessels, the aorta takes off from the anterior part of the right ventricle and the pulmonary trunk takes off from the posterior part of the left ventricle. This produces a complete separation of the systemic and pulmonary circulations. Without surgical correction, most affected infants die within the first months of life, although a patent ductus arteriosus, patent foramen ovale, or ventricular septal defect may allow enough mixing of blood to temporarily sustain life.

In atrial septal defect (choice A) blood can pass from one atrium to the other.

Associate coarctation of the aorta (choice B) with Turner syndrome.

Eisenmenger's syndrome (choice C) is a shift from a left-to-right shunt to a right-to-left shunt secondary to developing pulmonary hypertension.

Tetralogy of Fallot (choice D) consists of a ventricular septal defect, an overriding aorta, pulmonic stenosis, and right ventricular hypertrophy. It is the most common cause of early cyanosis.


___________________
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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