Step 1: For Doppler ultrasound with backscattered echo, the frequency shift is
\[
\Delta f = \frac{2 f_0 v \cos\theta}{c},
\]
where \(f_0\) is the transmitted frequency, \(v\) the blood speed, \(\theta\) the angle between beam and flow, and \(c\) the sound speed.
Step 2: Solve for \(v\):
\[
v=\frac{\Delta f\, c}{2 f_0 \cos\theta}.
\]
Step 3: Substitute values \(f_0=5\times10^6\ \text{Hz}\), \(\Delta f=200\ \text{Hz}\), \(c=1500\ \text{m/s}\), \(\theta=45^\circ\) (\(\cos45^\circ=\tfrac{\sqrt2}{2}\)):
\[
v=\frac{200\times 1500}{2\times 5\times10^6 \times \cos45^\circ}
=\frac{300000}{10^7 \times 0.7071}\approx 0.0424\ \text{m/s}
=4.24\ \text{cm/s}.
\]
Rounded to one decimal place: \(\boxed{4.2\ \text{cm/s}}\).