A 14-Year-Old Girl Is Brought to the Office for a Routine

A 14-year-old girl is brought to the office for a routine physical examination.  The patient will be starting her freshman year of high school soon.  She plays the clarinet in the school band but does not play any sports.  The patient says that she is not sexually active and does not use tobacco, alcohol, or illicit drugs.  Height is at the 5th percentile, and weight is at the 25th percentile.  Her temperature is 36.7 C (98 F) , blood pressure is 120/80 mm Hg, pulse is 88/min, and respirations are 16/min.  Physical examination shows a short and thick neck, a broad chest, and shortened fourth metacarpals bilaterally.  A murmur is heard on cardiac auscultation.  Which of the following would most likely be seen in an echocardiogram?

A) Atrial septal defect
B) Bicuspid aortic valve
C) Mitral stenosis
D) Mitral valve prolapse
E) Patent ductus arteriosus
F) Ventricular septal defect

Correct Answer:

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