Which of the following is NOT a characteristic of tetralogy of fallot?
  1. Large ventricular septal defect
  2. Right ventricular outflow obstruction
  3. Right ventricular hypertrophy
  4. A left to right cardiac shunt
Explanation
Answer: C- Tetralogy of fallot has mainly a right to left shunt caused by right ventricular outflow obstruction. Blood ends up bypassing the pulmonary artery and goes to the aorta.
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