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Innocent cardiac murmurs occur in up to 50% of normal children; they usually occur between birth and 6 years, although may also be present from early infancy to early adolescence.Question 19Select one:TrueFalse

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Innocent cardiac murmurs occur in up to 50% of normal children; they usually occur between birth and 6 years, although may also be present from early infancy to early adolescence.Question 19Select one:TrueFalse

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Solution

True

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Many paediatric cardiac abnormalities are congenital and detected soon after birth. All such cases require transfer to a tertiary paediatric hospital for surgery or medical management. Question 7Select one:TrueFalse

A 24-year-old woman comes to the office due to pressure-like, substernal chest pain that occurs when she exercises.  The patient began noticing the pain approximately 6 months ago when she started to exercise to lose weight.  Prior to that, her lifestyle was largely sedentary.  She has no associated nausea, vomiting, diaphoresis, dyspnea, palpitations, or syncope.  The patient has no significant past medical history but was told as a child that she has a "murmur."  She has no significant family history of heart disease.  Blood pressure is 130/70 mm Hg on the right and 105/55 mm Hg on the left, and pulse is 72/min and regular.  BMI is 29 kg/m2.  A palpable thrill is present in the suprasternal notch.  There is a loud midsystolic murmur best heard at the first right intercostal space.  The lungs are clear to auscultation.  What is the most likely cause of this patient's chest pain?

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