Audio Qbank – Q49 – A 5M with cold feet

 

A 5-year-old boy is brought to the GP by his mother for a routine physical examination. His mother says that he frequently complains of cold feet. He is at the 60th percentile for height and weight. His vitals are: temperature 98.6F, HR 76, RR 12, BP 168/108. On examination, the radial pulses are brisk. An infraclavicular systolic murmur is auscultated. What’s the most likely diagnosis?

  Aortic coarctation
  Aortic dissection
  Aortic stenosis
  Neuroblastoma
  Takayasu arteritis

Cut-to-the-chase Answer (0:52):

HY USMLE Answer (5:30):