kpmle2
Forum Guru
Topics: 95
Posts: 512
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A newborn girl is evaluated in the nursery by a
pediatrician. She was born 6 hours ago at 37
weeks’ gestation via spontaneous vaginal delivery
after an uncomplicated pregnancy to a 35-
year-old woman who had good prenatal care.
On physical examination, her skin is pink with
no rashes or lesions. Her eyes appear regularly
shaped and spaced, and she has a red reflex
present in both eyes. Her lips and nose are normal,
and her palate has a high arch. She has a
webbed neck that is flexible. Her chest is
shield shaped with widely spaced nipples. Her
lungs are clear to auscultation bilaterally, and
her breathing is unlabored with a respiratory
rate of 50/min. Her femoral pulses are delayed
compared to her radial pulses. She is able to
move all extremities equally but has edematous
hands and feet. She is alert and has normal
Moro and rooting reflexes. Which of the
following cardiac examination findings is most
likely?
(A) Continuous machinery murmur at the left
upper sternal border
(B) Harsh holosystolic murmur at the left
lower sternal border
(C) Single loud S2
(D) Systolic murmur loudest below the left
scapula
(E) Widely split fixed S2 and systolic ejection
murmur at the left upper sternal border
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| docdoc9
Forum Guru
Topics: 63
Posts: 524
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ans D
turner's syndrome..... coarctation of aorta......systolic murmur loudest below the left scapula
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