Step 1 Practice Questions

1. A 12-year-old male refugee from Haiti is being examined by a physician working for Médecins sans frontières.  Auscultation of the heart reveals no audible sounds but pulse exam in normal.  Electrocardiogram is normal except for an extreme axis deviation. Chest X-ray was obtained (see figure). Which of the following is a complication of this condition that the patient is most likely to develop?



A. Bronchiectasis
B. Heart failure
C. Mitral valve prolapse
D. Pneumothorax
E. Small bowel obstruction