18oo mcq general surgery - Study guides, Class notes & Summaries

1. A 45-year-old lady has 10 months history of shortness of breath. She is found to have irregularly irregular pulse and loud P2 with fixed splitting and ejection systolic murmur in left 2nd intercostal space. What is the probable diagnosis? A. TOF B. ASD C. VSD D. PDA E. CoA Ans. The key is B. Atrial septal defect. [Most adult patients with a large defect present with (some or all) symptoms including fatigue, exercise intolerance, palpitations, syncope, shortness of breath, peripheral o...