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Exam questionKROK 2Medicine ยท 2024

A 3-year-old child has episodes accompanied by cyanosis, sudden anxiety, and squatting. Objectively, the child has drum-stick deformation of the finger phalanges and nails that resemble a clockface. The cardiac dullness boundaries are shifted to the left and right. A systolic tremor can be detected in the second intercostal space near the left edge of the sternum. A coarse systolic murmur can be heard with p.max in the second intercostal space. The second heart sound is weakened over the base of the heart. X-ray shows that the heart is in the form of a "wooden shoe", the pulmonary pattern is poorly visible. What is the most likely diagnosis in this case?

Answer options

  1. Tetralogy of Fallot
  2. Primary bacterial endocarditis
  3. Dilated cardiomyopathy
  4. Ventricular septal defect
  5. Atrial septal defect
Correct answer

Tetralogy of Fallot

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