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

question 9

Multiple Choice

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

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Definitions:

Implicit Association Test

A psychological tool designed to measure a person's automatic and unconscious associations between different concepts.

Awareness

The state of being conscious or cognizant of something, including one's surroundings, feelings, or facts.

Shyness

A feeling of apprehension, lack of comfort, or awkwardness especially when a person is around other people, often characterized by a tendency to avoid social interactions.

Implicit Association Test

A psychological test designed to uncover unconscious or hidden biases by measuring the strength of associations between concepts.