Wed20October0612PM 6

Is it true or false that the presence of the following are characteristic features of a large ventricular septal defect?

True / False

Heart failure Correct

A plethoric lung field on the CXR Correct

Diminished second heart sound Correct

Mid-diastolic murmur at the apex Incorrect answer selected

Repeated chest infection Incorrect answer selected

Explanation

In addition to the classic pan-systolic murmur from the VSD, it may also generate a mid-diastolic murmur due to flow across the mitral valve.

Significant shunting is implied by:

Heart failure

Pulmonary plethora, and

Mid diastolic murmur due to increased flow across the mitral valve.

Repeated chest infections are a manifestation of cardiac failure.

A large shunt will cause pulmonary hypertension and a loud second heart sound.

Answer Statistics

Not enough data to display the statistics

Average score: 66.11%

Times answered: 262