PANCE Exam Practice Questions: Quiz 226 February 1, 2016 By Aamir Khan Leave a Comment A 4-year-old girl presents for a routine checkup. She is new to the practice. Physical examination reveals a harsh, holosystolic grade III/VI cardiac murmur at the left sternal border with wide radiation and fixed split S2. There is no change with position or respiration. What is the most likely diagnosis? A. innocent murmur B. aortic regurgitation C. patent ductus arteriosus D. ventricular septal defect Δ
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