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Pediatrics General 3f531986

Congestive hea failure is seen in all of the following except: September 2007

A
TAPVC
B
TOF
C
Coarctation of aoa
D
PDA
High-Yield Explanation
Ans. B: TOF Congenital hea defects are classified into two broad categories: Acyanotic-The most common acyanotic lesions are ventricular septal defect, atrial Septal defect, atrioventricular canal, pulmonary stenosis, patent ductus aeriosus, aoic stenosis and coarctation of the aoa. Congestive hea failure is the primary concern in infants with acyanotic lesions. Cyanotic-The most common cyanotic lesions are tetralogy of Fallot and transposition of the great aeries. In infants with cyanotic lesions, hypoxia is more of a problem than congestive hea failure. Suspicion of a congenital hea defect should be raised by the presence of feeding difficulties in association with tachypnea, sweating and subcostal recession, or severe growth impairment.

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