12 - Pediatric Cardiology Flashcards

1
Q

Murmur grade associated with thrill

A

4

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2
Q

Murmur that is always pathologic

A

Diastolic murmurs

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3
Q

Acyanotic heart disease

A

• VSD
• ASD
• PDA
• COA
• ECD

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4
Q

Cyanotic heart disease

A

• Pulmonary atresia
• Pulmonary stenosis
• TOF
• Tricuspid atresia
• Ebstein anomaly
• TOGA
• TAPVR
• Truncus arteriosus

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5
Q

Systolic ejection murmur at 2nd LICS with widely split S2

A

ASD

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6
Q

Systolic regurgitant murmur at LLSB with loud and single S2

A

VSD

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7
Q

Continuous “machinery-like murmur at the 2nd L infraclavicular area

A

PDA

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8
Q

Heart defect most commonly associated with Down syndrome

A

Endocardial cushion defect

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9
Q

Bedside test to differentiate pulmonary from cardiovascular cause of cyanosis

A

Hyperoxia test

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10
Q

Most common cyanotic heart defect BEYOND infancy

A

TOF

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11
Q

Most common cause of cyanotic congenital heart disease in NEWBORNS

A

TOGA

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12
Q

Boot-shaped heart

A

TOF

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13
Q

Management of hypoxic spells in TOF

A

• Knee-chest position
• Morphine sulfate
• NaHCO3 IV
• Oxygen
• Phenylephrine
• Propranolol
• Ketamine

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14
Q

Egg-shaped heart

A

TOGA

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15
Q

T or F: A VSD is always present in truncus arteriosus

A

T

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16
Q

Snowman sign
Figure of 8

A

TAPVR

17
Q

Location of lesion in coarctation of the aorta in children

A

Descending aorta (distal to the origin of the L subclavian artery)

18
Q

Rib notching
Inverted E
3 sign

A

COA

19
Q

Heart defect most commonly associated with congenital rubella

A

PDA

20
Q

Heart defect most commonly associated with maternal DM

A

TGA

21
Q

Heart defect most commonly associated with maternal lupus

A

Complete heart block

22
Q

Heart defect most commonly associated with maternal intake of aspirin

A

PPHN

23
Q

Heart defect most commonly associated with maternal intake of alcohol

A

VSD
PS

24
Q

Heart defect most commonly associated with maternal intake of lithium

A

Ebstein anomaly

25
Q

Tachycardia in rheumatic fever is significant when noted during

A

Sleeping

26
Q

Most common manifestation of RF

A

Arthritis

27
Q

Most consistent feature of ARF

A

Valvulitis

28
Q

Only feature of RF that can cause permanent damage

A

Carditis

29
Q

Test that should be performed in all patients with confirmed or suspected ARF

A

Echocardiography with doppler

30
Q

Duration of antibiotic prophylaxis for RF without carditis

A

5 years or until 21 years old whichever is longer

31
Q

Duration of antibiotic prophylaxis for RF with carditis but without residual heart disease

A

10 years or until 21 years old whichever is longer

32
Q

Duration of antibiotic prophylaxis for RF with carditis and with residual heart disease

A

10 years or until 40 years old whichever is longer

33
Q

Most likely cause of IE in patients with underlying heart disease

A

viridans Streptococci

34
Q

Most likely cause of IE in patients after dental procedure

A

viridans Streptococci

35
Q

Most likely cause of IE in patients after GUT or lower bowel manipulation

A

Group D Streptococcus

36
Q

Most likely cause of IE in patients after open heart procedure

A

Fungal

37
Q

Most likely cause of IE in IV drug abusers

A

Staphylococcus
Pseudomonas

38
Q

Most likely cause of IE in patients with CVP or prosthetic valves

A

Coagulase-negative Staph

39
Q

Recommended treatment duration for IE

A

4-6 weeks