Tetralogy Of Fallot Repair in Medicine / Internal Medicine — 20yo Woman | Cardiology | SMLE Q#11145
SMLE Question #11145
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 20-year-old woman with a history of tetralogy of Fallot repair in childhood attends routine follow-up. She reports occasional palpitations but no dyspnea, chest pain, or syncope. Cardiac auscultation reveals a high-pitched early diastolic decrescendo murmur best heard at the left upper sternal border, with a single second heart sound. There is no peripheral edema and no clinical signs of heart failure. Which of the following best describes her current cardiac condition?
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