Congenital Heart Disease, Set 2

For each of the following situations, select the most likely underlying condition:

1. The radiologist complains to the medical student, "You put this radiograph backwards onto the view box" but the student points out the label in the corner on the film, which reads correctly:

2. No mitral valve or left ventricular chamber can be identified on ultrasound of a fetus at 18 weeks gestation:

3. Cystic medial necrosis of the media of a dilated 3.8 cm diameter aortic arch of a 30-year-old man is present on microscopic examination, after the arch and aortic valve are resected for placement of a graft and valve prosthesis:

4. A mid-systolic "click" is auscultated on examination of the chest of a 35-year-old woman who has chronic depression. A chest radiograph reveals a normal cardiac size and no edema or effusions:

5. A 7-year-old girl has a continuous harsh "machinery-like" murmur accompanied by a systolic thrill on physical examination. She appears otherwise to be healthy, without cyanosis, and gets plenty of exercise:

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