A mother of a 2 week old male infant brings her baby to the ER, and says that he can't take his breath. You take a look at the patient to find him cyanosed and in respiratory distress. When you ask his mother when this started she burst in tears, and she says that it started very soon after he was born by an illegal midwife because the mother couldn't pay much for the delivery and she thought that his bluish color is just temporary and will go away in time, but it only got worse. She also told you that it's all her fault because she is a diabetic and she heard that children of diabetics tend to be abnormal.
On examination, you heard the sound attached by ausculatation of the heart. You took the patient to cardiology and you watched the echo, the cardiologist told you that the condition is caused by failure of the aorticopulmonary septum to spiral. He also told you not to give him a high concentration of oxygen and to give prostaglandins. Which of the following is true:
a- There should be preferential cyanosis with the upper limbs more cyanotic than the lower limbs
b- There should be preferential cyanosis with the lower limbs cyanosis deeper than the upper limbs
c- On chest x ray the heart should be hugely enlarged
d- The mother's diabetis has nothing to do with the fetal condition
e- The cardiologist doesn't know what he is talking about
On examination, you heard the sound attached by ausculatation of the heart. You took the patient to cardiology and you watched the echo, the cardiologist told you that the condition is caused by failure of the aorticopulmonary septum to spiral. He also told you not to give him a high concentration of oxygen and to give prostaglandins. Which of the following is true:
a- There should be preferential cyanosis with the upper limbs more cyanotic than the lower limbs
b- There should be preferential cyanosis with the lower limbs cyanosis deeper than the upper limbs
c- On chest x ray the heart should be hugely enlarged
d- The mother's diabetis has nothing to do with the fetal condition
e- The cardiologist doesn't know what he is talking about
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