HY USMLE Q #791 – Cardio

A 7-year-old girl is brought to the physician by her mother for a follow-up examination. The following schematic represents the oxygen tension (pO2) within her cardiopulmonary circulation. Which of the following is the most likely explanation for these findings?

  Atrial septal defect (left-to-right shunt)
  Atrial septal defect (right-to-left shunt)
  Patent ductus arteriosus
  Ventricular septal defect (left-to-right shunt)
  Ventricular septal defect (right-to-left shunt)