A 6-Week-Old Infant Is Brought to the Office Due to Difficulty

question 25

Multiple Choice

A 6-week-old infant is brought to the office due to difficulty feeding.  The patient was born at 39 weeks gestation via spontaneous vaginal delivery.  He is breastfeeding for 5 minutes per side every 3 hours.  The patient has profuse sweating and difficulty breathing with feeds.  Weight is at the 5th percentile.  On examination, the patient is tachypneic.  Cardiac examination shows a holosystolic murmur at the left lower sternal border; a palpable thrill is present at the left sternal border.  Compared to a healthy infant, this patient likely has which of the following intracardiac pressure changes?

• A)A
• B)B
• C)C
• D)D

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Definitions:

Private Business

A business owned and operated by private individuals or groups, rather than by the state or public, typically aiming to generate profit.

Federal Government

The national government of a federated state, which holds the authority to govern at a level above individual states or provinces.

Personal Income Tax

A tax that governments impose on individuals based on their earnings or income.