MCQ – 89048

Question

3 year of boy presents with frequent episodes of cyanotic spells and squatting. O/E there was central cyanosis, conjunctiva plethora, and grade 3 clubbing .O/E there was grade 3-4 systolic murmur heard on the lower left sternal margin and an ejection systolic murmur on the upper left sternal border. A chest radiograph is attached, how is the radiographic appearance described as and what is the most likely diagnosis:

A.

Boot shaped heart, Ebstein anomaly

B.

Boot-shaped heart, transposition of great arteries

C.

Boot-shaped heart, ventricular septal defect

D.

Boot shaped heart, tetralogy of Fallot

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