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6319 Pediatrics

A two-month-old infant is brought to emergency depament with marked respiratory distress. On examination, the infant has cyanosis and bilateral crepitations. Hea rate is 180/min, respiratory rate 56/min and the liver span 7.5 cm. The child had repeated episodes of fever, cough and respiratory distress since the time of bih. Cardiovascular examination reveals a grade III ejection systolic murmur in left para-sternal area and the chest X-ray reveals cardiomegaly with a narrow base and plethoric lung fields. What is the most likely diagnosis?

ACongenital methemoglobinemia
BTransposition of great aeries
CCystic fibrosis
DTetralogy of Fallot
Pediatrics
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