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60. a boy, 2 years of age was born in primary healthwith apgar score 7/10, body weight 3,6 kg. On physical
examination there was no cyanotic and revcaled ejection systole murmur. The result of chest x-ray was
carpet-shaped. The diagnosis of this baby is :
 A. TGA
B. PAPVD
C. ToF
D. DORV
E. Truncus arteriosus

64. A baby 7 days of age was born aportancously, crying so in after birth with apgar score 7/10, body
wright 3900 grams. Eight days futer the baby looks eyanotic and we order X-ray Examination. We expected
the shape of the heart on morelikely :
A. Carpet slinped
B. Egg-shaped
C. Boot-shaped
D. Peer-shaped
E. Snowman like appercance
65. a case 4 years 6 month, visit OPD because of cyanotic. On physical examination is heard single 2no HS
and ejection systolic murmur at ICS I-II. X-ray result there is apical up turned with normaly pulmonal . on
echocardiography we found VSD malalignment with overriding aorta. All, statement below are the clinical
sign and complicationof fais case. Except :
A. Cyanotic spells
B. Cerebral abcess
C. Congestive heart failure
D. Poor weight gain
E. Activity intolerance

66. management of acute rheumatic fever are is followed :

A. Antibiotic dministration to eradicated streptococci
B. Anti-inflammatory should be given to suppress the development of joint manifestation and
suppressing acute phase reactants
C. Bed rest of varying duration is recommended
D. Educate the patients and parents about the need to prevent subsequent streptococci infection
through continuous antibiotic prophylaxis
E. All statements above are correct

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53. a boy, 2 years and 6 month of age admitted to OPD due to failure to thrive. On physical examination
there was ejection systolic murmur at LSD. On chest x-ray the apex upturned and prominens pulmonary
artery segmens. So the diagnosis of this case it could be :
A. ASD
B. VSD
C.
D. Coarcatio aorta
E. Ebstein anomaly

54. a girl, 5 years of age sent by a pediatrician because of conghing. On physical examination was heard
ejection systolic murmur with grade 3-4/6 with punctum maximum on upper left sternal border. The
diagnosis of this case is ? :
A. VSD
B. Aorta stenosis
C. PDA
D. Rheumatic fever
E. ASD
55. a patient 2 years and 8 months of age controll to OPD. On chest x-ray we found boot-shaped with apex
upturned. On physical examination we could heard :
A. 1st and 2sd HS were normal
B. Single 2sd HS with ejection systolic murmur
C. Single 1st HS with ejection systolic murmur
D. 1st and 2sd HS were normal with ejection systolic murmur
E. 1st and 2sd HS were normal wit pansystolic murmur