23.7.2013(assistant GC) Flashcards

0
Q

Most common complication of VSD

A

Infective endocarditis

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1
Q

Commonest anomaly associated with VSD

A

ASD

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2
Q

Lesions associated with VSD

A

PDA
coarctation of aorta
AR

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3
Q

Materials used for patch closure of VSD

A

Pericardium

Dacron

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4
Q

Spontaneous closure of VSD doesnot occur after

A

8 years

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5
Q

Definite indications for closure of VSD

A

Large VSD

episode of IE

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6
Q

PVR in inoperable VSD

A

PVR> 2/3rd of SVR

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7
Q

Large volume pulse

A

Pulse pressure greater than 60

Small volume pulse less than 30

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8
Q

Assymmetric upper limb BP

A

Takayasu
Aortic dissection
Pre-ductal coarctation of aorta

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9
Q

Dextroposition

A

Apical impulse behind sternum due to mediastinal shift

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10
Q

Severity of AR is clinically indicated by

A

Hill sign

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11
Q

Gross cardiomegaly is seen in

A

AS

AR

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12
Q

Musical murmurs are seen in

A

MR

AR

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13
Q

Resection of aortic root along with valve replacement is done in

A

Marfan

Syphilitic AR

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14
Q

Pulsation in infra scapular and infra axillary area is seen in

A

Coarctation of aorta

Suzmann sign

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15
Q

Pt position when seeing for Suzmann sign

A

Standing with stooped forward position

16
Q

Cardiac valvular disease in which apical impulse is found in normal position

A

Pure isolated MS

17
Q

Characteristics of right ventricular apical impulse

A

Retractile

Synchronises with para sternal heave

18
Q

VSD associated with pulmonary infundibular stenosis

Prognosis

A

Good prognosis

19
Q

Types of VSD

A
1.membraneous(perimembranous)
Muscular
 2.trabecular
 3.inflow
 4.outflow(common in Indians)
20
Q

VSD associated with AR

A

Outflow

21
Q

Cause of AR in outflow VSD

A

Prolapse of aortic valve due to Venturi effect