Valvular Disorders: The Daily PANCE Blueprint

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Pulmonary Stenosis: The Daily PANCE Blueprint

Tetralogy of Fallot is characterized by RV failure, an overriding aorta, a ventricular septal defect, and what valvular disorder?

A. Pulmonic regurgitation
B. Pulmonic stenosis
C. Tricuspid regurgitation
D. Tricuspid stenosis
E. Mitral stenosis

Answer and topic summary

The answer is B. Pulmonic stenosis

Pulmonary stenosis is a relatively rare valvular disorder and is almost always due to a congenital defect, such as Tetralogy of Fallot. The murmur classically is a mid-systolic murmur heard best at the left upper sternal border near the second ICS, and sometimes will have a variable S2 split. An echocardiogram is the best diagnostic test. Balloon valvuloplasty or surgery is indicated in severe or symptomatic cases.

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Covered under ⇒ PANCE Blueprint Cardiology ⇒ Valvular Disorders ⇒ Pulmonary stenosis

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