Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?
A)Coarctation of the aorta
B)Pulmonic stenosis (PS)
C)Aortic stenosis
D)Hypoplastic left heart syndrome

Question

Quizplus · Accepted Answer

Clinical manifestations depend on the severity of PS. A systolic ejection murmur at the left upper sternal border reflects obstruction to flow through the narrowed pulmonary valve. A systolic ejection click is present with valvular stenosis at the upper left sternal border. A thrill also may be palpated at the upper left sternal border. Children with moderate PS may have exertional dyspnea and fatigability because of the inability of the body to increase pulmonary blood flow to meet demands for increased cardiac output. Severe PS will produce cyanosis and heart failure.

Which Heart Defect Produces a Systolic Ejection Click at the Upper