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A 12-Day-Old Girl Is Evaluated in the Neonatal Intensive Care

Question 233

Multiple Choice

A 12-day-old girl is evaluated in the neonatal intensive care unit (NICU) due to a murmur.  The patient was born at 25 weeks gestation and was admitted to the NICU for respiratory support.  She was born to a 21-year-old primigravida whose pregnancy was complicated by preeclampsia.  Cardiac auscultation reveals a continuous murmur at the left sternal border, and bounding femoral and palmar pulses are palpable.  Echocardiography confirms the diagnosis.  Compared with a normal infant, this patient most likely has which of the following changes in cardiac parameters?
A 12-day-old girl is evaluated in the neonatal intensive care unit (NICU) due to a murmur.  The patient was born at 25 weeks gestation and was admitted to the NICU for respiratory support.  She was born to a 21-year-old primigravida whose pregnancy was complicated by preeclampsia.  Cardiac auscultation reveals a continuous murmur at the left sternal border, and bounding femoral and palmar pulses are palpable.  Echocardiography confirms the diagnosis.  Compared with a normal infant, this patient most likely has which of the following changes in cardiac parameters? A) A B) B C) C D) D E) E


A) A
B) B
C) C
D) D
E) E

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