**Core Concept**
The question is testing the understanding of congenital heart diseases presenting with central cyanosis in a newborn. Central cyanosis refers to a bluish discoloration of the skin and mucous membranes due to an increased amount of reduced hemoglobin in the blood.
**Why the Correct Answer is Right**
Given the clinical presentation of central cyanosis, a grade II murmur, and a single S2, the most likely diagnosis is a congenital heart defect that causes mixing of oxygenated and deoxygenated blood. The presence of a single S2 suggests an issue with the normal splitting of the second heart sound, which can occur in conditions affecting the pulmonary valve or the aorta.
**Why Each Wrong Option is Incorrect**
**Option A:** This choice is incorrect because it does not provide a specific diagnosis.
**Option B:** Similarly, this option lacks a clear diagnosis.
**Option C:** Without a specific condition, this cannot be the correct answer.
**Option D:** This option also does not provide a clear diagnosis.
**Clinical Pearl / High-Yield Fact**
In newborns, central cyanosis can be a sign of serious congenital heart disease. The presence of a murmur and abnormalities in heart sounds, such as a single S2, can help narrow down the diagnosis.
**Correct Answer:** D. Total Anomalous Pulmonary Venous Connection (TAPVC)
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.