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Pediatrics C.V.S. eeaa7950

True statement about ductus arteriosus is:

A
It undergoes anatomic closure within 24 hours of birth
B
Forms the ligamentum venosum in later life
C
It is induced to close by high levels of prostaglandins
D
May cause a machinery murmur by its patency.
High-Yield Explanation
d. May cause a machinery murmur by its patency.(Ref: Nelson's 20/e p 497, Ghai 8/e p 413)Closure of ductus arteriosusPhysiological closure: occurs almost immediately after birth by contraction of muscular wall, mediated by bradykininAnatomic closure: occurs by proliferation of intima in 10-21 days; After obliteration, it forms ligamentum arteriosum. Note: Murmur due to PDA is classically referred to as a continuous machinery murmur.

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