Close
9th May 2025
A 45-year-old female presents to her general practitioner due to a several-week history of fatigue, shortness of breath and dyspnoea.
A 45-year-old female presents to her general practitioner due to a several-week history of fatigue, shortness of breath and dyspnoea. She is otherwise fit and well, with no known past medical history or recent travel history.
On examination, there is an ejection systolic murmur, heard loudest at the left upper sternal border, radiating to the back. There is also a splitting of the second heart sound.
You refer her for some investigations, the results of which are detailed below.
| Investigation | Details |
|---|---|
| ECG | Tall P waves in V1 |
| Chest X-ray | Borderline cardiomegaly |
| Echocardiogram Report | Moderately sized left-to-right shunt within the interatrial septum
Evidence of right atrial enlargement The approximate pulmonary to systemic blood flow ratio (Qp:Qs) is 1.8, and pulmonary vascular resistance is 3. |
Given the above clinical findings, what would be the definitive management for this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
