This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Acyanotic congenital hea diseases, Subject name: Pediatrics
Large ventricular septal defect in a child leads to all of the following EXCEPT? 
Select and explain. 
A. Infective endocarditis, B. Eisenmenger syndrome, C. Hea failure, D. Cyanotic spell
D: Cyanotic spell
Answer: D: Cyanotic spell 
Explanation: Complications of large VSD: Cardiac failure - MC; occurs in early infancy Infective endocarditis - occurs at any age Pulmonary hypeension (Eisenmenger syndrome). Note:- Cyanotic spell is usually a feature of TOF