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QUESTIONS (44–51) REFER TO THE FOLLOWING INFORMATION

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Match the clinical features listed below to the most likely type of congenital heart disease or clinical syndrome found in patients.

1 Atrial septal defect (ASD).

2 Ventricular septal defect (VSD).

3 Patent ductus arteriosus (PDA).

4 Coarctation of the aorta (CoA).

5 Eisenmenger's syndrome.

6 Marfan's syndrome.

7 Tetralogy of Fallot.

8 Transposition of the great arteries.

44. Cyanosis, clubbing, polycythaemia, an elevated JVP with a dominant a wave pattern, right ventricular heave, palpable pulmonary component of the second heart sound (P2), loud P2, fourth heart sound, pulmonary ejection click, and pulmonary regurgitation on auscultation.

45. Cyanosis, clubbing, polycythaemia, right ventricular heave, a thrill at the left sternal edge, a single second heart sound (A2) and short pulmonary ejection murmur on auscultation, a boot shape heart, right ventricular enlargement, and decreased vascularity of lung vessels on CXR.

46. A better developed upper body in comparison with the lower limbs, radiofemoral delay, and hypertension in the upper limbs only, midsystolic murmur over the precordium and back, hypertensive changes in the fundi, a small aortic knuckle and rib notching on CXR.

47. Fixed splitting of the second heart sound (S2), pulmonary systolic ejection murmur (increasing on inspiration), signs of pulmonary hypertension.

48. A thrill and a harsh pansystolic murmur to the left sternal edge, mitral regurgitation.

49. Arachnodactyly, joint hypermobility, long, thin limbs, a long and narrow face, lens dislocation, blue sclerae, a high‐arched palate, pectus excavatum, aortic regurgitation, mitral valve prolapse, kyphoscoliosis, and arm span exceeding overall height.

50. A continuous murmur along the left sternal border, ECG shows left ventricular hypertrophy, CXR shows increased pulmonary vasculature.

How to Pass the FRACP Written Examination

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