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 Best of Five 231

 

   

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BOF: 231

A 19-year-old male is being investigated for hypertension. The pressure data from cardiac catheterisation are as follows:

Site

Pressure mm of Hg

RA

0

RV

24/0-2

PA

24/12

LA

7

LV

220/0-9

Aorta

170/100

Femoral artery

90/60

In this patient the chest x-ray feature that is most likely to lead to a diagnosis is:

a)      Left ventricular enlargement

b)      Dilated ascending aorta

c)      Pulmonary plethora

d)      Pruning of the pulmonary vasculature

e)      Rib notching

 

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