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: Medicine
Presence of a pansystolic murmur of Mitral Regurgitation with left axis detion in a patient with ASD suggest: 
Select and explain. 
A. TGA, B. Ostium secondum with floppy mitral valve, C. Ostium primum with floppy mitral valve, D. Pulmonary Hypeension
C: Ostium primum with floppy mitral valve
Answer: C: Ostium primum with floppy mitral valve 
Explanation: Answer is C (Ostium primum with floppy mitral valve) `Presence of a pansystolic murmur of mitral regurgitation with left axis detion in a patient with ASD suggests the presence of ostium primum defect with a cleft mitral valve leaflet or a floppy mitral valve with mitral valve prolapse' Presence of Pansystolic Murmur in a patient with ASD suggests. Ostium Primum Defect Floppy mitral valve Cleft mitral valve Associated Rheumatic Mitral Regurgitation ASD type ECG Ostium Primum Left Axis Detion Ostium Secondum Right Axis Detion