A 4-year-old girl who is below the 5th percentile for height and weight for age becomes...

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A 4-year-old girl who is below the 5th percentile for height and weight for age becomes easily fatigued. On physicalexamination, she appears cyanotic. Her temperature is 37°C, pulse is 82/min, respirations are 16/min, and blood pressure is 105/65 mm Hg. Arterial blood gas measurement shows decreased oxygen saturation. One month later, she has fever and obtundation. A cerebral CT scan shows a right parietal, ring-enhancing, 3-cm lesion. Which of the following congenital heart diseases is the most likely diagnosis? □ (A) Atrial septal defect (B) Bicuspid aortic valve (C) Coarctation of the aorta (D) Patent ductus arteriosus (E) Truncus arterios us (F) Ventricular septal defect A 4-year-old girl who is below the 5th percentile for height and weight for age becomes easily fatigued. On physicalexamination, she appears cyanotic. Her temperature is 37°C, pulse is 82/min, respirations are 16/min, and blood pressure is 105/65 mm Hg. Arterial blood gas measurement shows decreased oxygen saturation. One month later, she has fever and obtundation. A cerebral CT scan shows a right parietal, ring-enhancing, 3-cm lesion. Which of the following congenital heart diseases is the most likely diagnosis? □ (A) Atrial septal defect (B) Bicuspid aortic valve (C) Coarctation of the aorta (D) Patent ductus arteriosus (E) Truncus arterios us (F) Ventricular septal defect

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