A 17-Year-Old Girl Is Evaluated Due to Decreased Exercise Tolerance

question 659

Multiple Choice

A 17-year-old girl is evaluated due to decreased exercise tolerance and fatigue.  She has no known medical conditions and takes no medications.  Blood pressure is 110/60 mm Hg and pulse is 88/min.  The lungs are clear on auscultation.  Cardiac examination reveals a parasternal heave, and a widely split second heart sound is heard throughout the respiratory cycle.  A systolic ejection murmur is present at the left upper sternal border.  Distal pulses are normal.  Echocardiography of this patient is most likely to demonstrate which of the following findings?

• A)A
• B)B
• C)C
• D)D

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Definitions:

Language Acquisition

The process by which humans acquire the ability to perceive, comprehend, and produce language, usually in early childhood.

Vocabulary

The collection of words known and used by a person in a particular language, fundamental to effective communication and comprehension.

Two-Word Sentences

Early childhood sentences that consist of two words, often illustrating a simple concept or action.

Garden Path Sentence

A type of sentence that begins by appearing to mean one thing, but ends up meaning something else, often leading the reader to backtrack and reinterpret the sentence.