NBME 18 ventricular septal defect (NBME Answers)

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NBME 18 Answers

nbme18/Block 2/Question#47 (reveal difficulty score)
A 2 month old boy is brought to the physician ...
ventricular septal defect 🔍 / 📺 / 🌳
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+11
submitted by ∗ergogenic22(391),

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eH sah a down dna otu ,iplup udsace by NC III p.ylsa His egza si due ot snopdupoe ctaoin fo eth rtlleaa curtse nda iprrueos qelio;bu oistsp ude to rdietonanev of aerotvl aleapeprb uissiep.ors

heT noly unrjiy stlide htta lduoc euasc a CN III pylas is synmaeru fo het PCA osenmgcrpis the trcoluaomor sceunlu.

+2
submitted by ∗cheesetouch(238),

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2 hmnost lod w/ yloisshltoco BLLS rmuumr -- LNOY hcsloistyloo suurrmm ear mtlria egrru,g rpTdcisui ,rggure SDV PAD - nunucosito amniech klei rmurum

isaacyo94 But this was described as a BLOWING murmur. When I hear the buzzword BLOWING murmur, I think regurg. +1

djeffs1 can someone remind me what the functional murmur would look like? +

ih8payingfordis Don't get distracted by "blowing" Holosystolic is the key here and from there you can get VSD because that's the most common congenital heart defect +1

+1
submitted by ∗an1(93),

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soysllo:iotcH MR, ,TR ro SVD

woreL lfte lerntsa rdobre eht( ltfe rbrdoe is rb'sE pnti,o nbhtaee htat si hte drTipsuci a)aer -;&t-g TR ro DSV

tsaWh erom com?nom DVS yb( ra!f!)

If yhte dah eomnndtie teh umm givhna PBD ro itknag splil orf a cyphs idr,soerd tenh RT ucldo eb a igb noe.rtdcen

+1
submitted by ∗step7777(6),

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ehT lnoctoia is hawt pdheel me .out tLef rolew tlenras debror is L.V tarMli erugrg olduw eb at px,ae DAP odwul eb nhcmeai eilk, antricocaot wulod vahe ewak ditals erttxeymi ,suspmeli dan eanttp mraofne evola dwulo eb euprp nealstr erdr.bo Teh ylon miet 'veI evre aedhr fo uTicidsrp otgrgnitureai si itwh ,IDAV hcwhi I tubod si ognig no tiwh the 2 tnmoh lod oyb nusels het mom sha het npsreptoyi ot oshto mhi up dna in htta easc hd'e ropalbby etrnsep twih a freev awnyy.sa