Cardiac Catheterization Is Performed on a 7-Year-Old Boy

Cardiac catheterization is performed on a 7-year-old boy.  The image below shows the pattern of oxygen saturation in the patient's cardiac chambers and outflow tracts (structural abnormalities are not shown) . This patient most likely has which of the following findings on physical examination?

A) Bifid carotid pulse with brisk upstroke
B) Continuous murmur over the upper precordium
C) Decreased femoral-to-brachial blood pressure ratio
D) Fixed splitting of S2 on cardiac auscultation
E) Holosystolic murmur over the left sternal border
F) Mucosal cyanosis and fingernail clubbing

Correct Answer:

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