Cert Cardiology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Cardiology Cert Cardiology(SA) Paed Exam

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An asymptomatic 4-year-old child is referred for evaluation of a cardiac murmur discovered during a routine check-up. Auscultation reveals a wide, fixed splitting of the second heart sound (S2) and a 2/6 mid-systolic ejection murmur at the upper left sternal border. What is the underlying cause of the wide, fixed split S2?
Correct Answer:
Persistent volume overload of the right ventricle causing delayed closure of the pulmonary valve regardless of respiration

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