Table 1 Targeted skill item in its 5- and 3-option formats
Five-Option Format | Three-Option Format |
|---|---|
Q. A 12-year-old girl presented with several syncopal episodes over the past 8 months; there was an associated feeling of chest discomfort with a strong heartbeat prior to the syncopal attacks. On examination, her blood pressure and heart rate are normal, and there is a prominent right ventricular impulse with a loud second heart sound. An ECG shows right ventricular hypertrophy. The most likely diagnosis in this girl is | Q. A 12-year-old girl presented with several syncopal episodes over the past 8 months; there was an associated feeling of chest discomfort with a strong heartbeat prior to the syncopal attacks. On examination, her blood pressure and heart rate are normal, and there is a prominent right ventricular impulse with a loud second heart sound. An ECG shows right ventricular hypertrophy. The most likely diagnosis in this girl is |
A-Vasovagal syncope B-Pulmonary hypertension C-Anemia due to heavy menstruation D-Coarctation of aorta E-Long QT syndrome Key: B | A-Vasovagal syncope B-Pulmonary hypertension C-Long QT syndrome Key: B |