9)      An eight year old child is seen in the paediatric outpatient clinic as he has had a syncope while taking part in his practices for the sport meet relays. On examination he had a heart rate of 80/minute with no radio-femoral delay. An ejection systolic murmur was heard in the upper sternal edge on right side. The most likely cause for the syncope is

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Notes for MCQMEDLK is compiled and written for Sri Lankan final year MBBS subjects. These notes are also ideal to prepare for ERPM exams. They cover Medicine, Surgery, Peadiatrics, Psychiatry and ObsGyn. They are categorised into topics and has everything what you need for a topic in one place.

10) A 2 month old baby with large ventricular septal defect presented with cough for 2 days and increasing breathlessness and poor feeding. The most relevant sign indicative of heart failure is