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Which of the following clinical pathophysiologic manifestations are consistent with a large ventricular septal defect (VSD) ?
I.The majority of the blood flow is shunted from left right to right left.
II.Shunting typically occurs during ventricular diastole,which causes left atrial enlargement.
III.Chest radiography reveals an enlarged cardiac silhouette and increased pulmonary vascular markings,increasing pulmonary blood flow.
IV.Thickening and fibrosing of the pulmonary veins develop,decreasing pulmonary artery pressure.
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Decorative art forms from the Byzantine Empire, made by fitting together small pieces of colored glass, stone, or other materials to create intricate designs.
Italian Fresco
A technique of mural painting executed upon freshly laid lime plaster, allowing pigments to merge with the plaster for permanence, notably used in Italy during the Renaissance.
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An architectural style prevalent in England from the late 12th to the 16th century, characterized by pointed arches, ribbed vaults, and flying buttresses.
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A historical cathedral located in Wells, Somerset, England, famous for its impressive Gothic architecture and one of the most beautiful ecclesiastical buildings in the UK.
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