Overlapping Fingers in Pediatrics — Case | General Pediatrics | SMLE Q#10948
SMLE Question #10948
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 1-day-old male newborn is evaluated for multiple congenital anomalies. Physical examination shows prominent occiput, low-set ears, clenched hands with overlapping fingers, micrognathia, and rocker-bottom feet. Cardiac auscultation reveals a harsh holosystolic murmur at the lower left sternal border. Echocardiography demonstrates a ventricular septal defect. Chromosomal analysis is pending. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.