This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'A neonate has recurrent attacks of abdominal pain,restless irritability and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for M.I. Likely diagnosis here is – \nSelect and explain. \nA. ASD, B. VSD, C. TOF, D. Anomalous coronary artery', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Anomalous origin of coronary arteries \n\nThere is anomalous origin of the left coronary artery from the pulmonary artery : In this anomaly the blood supply of the left ventricular myocardium is severely compromised. Soon after birth (Neonate) as the pulmonary arterial pressure falls, perfusion pressure to the left coronary artery becomes inadequate. Myocardial infarction and fibrosis may result.\n\nClinical manifestion :\n\nCongestive heart failure becomes manifest within first few month of life and is often precipitated by respiratory infection.\nRecurrent attacks of discomfot, restlessness, irritability, diaphoresis, dyspnea and pallar with or without cyanosis occur - could be caused by angina pectoris.\nCardiac enlargement is moderate to massive\nMurmurs may be present.', 'role': 'assistant'}]