BOF 27

 

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BOF: 27

A 16-year-old male has been referred by his GP for investigation of a murmur. On examination he has a soft systolic murmur in the pulmonary area and fixed splitting of the second heart sound.

 In which of the following conditions does fixed splitting of the second heart sound occur:

a)      Atrial septal defect

b)      Patent ductus arteriosus

c)      Right bundle branch block

d)      Left bundle branch block

e)      Pulmonary stenosis

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