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Questions 48 to 50 for the following topic.A boy, 4 years old, cyanosis appear after the age of 1 year, Physical examination: Squatting position; Grade II-Ⅲ harsh systolic murmur at the second-fourth intercostal of left sternal area; Cyanosis in lip.Possible diagnosis of this case is ()

A. Patent ductus arteriosus
B. Atrial septal defect
C. Ventricular septal defect
D. Tetralogy of Fallot

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Questions 45 to 47 for the following topic.A boy, 9 months old, he is irritable in the recent month. Physical examination: Box-like head; Rachitic Rosary; Harrison’groove.Which is the most likely diagnosis? ()

A. Early stage of rickets
B. Active stage of rickets
Convalescence stage of rickets
D. Sequelae Stage of rickets

5. A new patient to your practice, a happy 10-year-old girl has a historyof hyperextensible skin and easy bruising. She often has sprains and jointdislocations when she exercises.

A. Coarctation of the aorta
B. ASD
C. Mitral valve prolapse
D. Pulmonic stenosis
E. Patent ductus arteriosis

2. A primiparous woman whose blood type is O positive gives birth atterm to an infant who has A-positive blood and a hematocrit of 55%. A total serum bilirubin level obtained at 36 hours of age is 12 mg/dL. Which of the following additional laboratory findings would be characteristic of ABO hemolytic disease in this infant?

A normal reticulocyte count
B. A positive direct Coombs test
Crescent-shaped red blood cells in the blood smear
D. Elevated hemoglobin
E. Petechiae

4. A 15-year-old boy comes to your office for a Special Olympics sports physical. His height is in the 3rd to 5th percentile and his weight is in the 50th percentile. Physical examination reveals a young man with shieldlike chest, cryptorchidism, low-set and malformed ears, ptosis, and pectus excavatum.

A. Coarctation of the aorta
B. ASD
C. Mitral valve prolapse
D. Pulmonic stenosis
E. Patent ductus arteriosis

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