29. Congenital Heart Disease Flashcards
A six month old child comes is brought to the doctor since he has low energy and is turning blue. An Echo is performed and it is discovered there is VSD, infudular stenosis, overriding aorta and right ventricular hypertrophy. What developmental disorder is associated with the child’s condition?
A. Trisomy 13 B. Trisomy 18 C. Turner Syndrome D. Fragile X E. Trisomy 21
RFA
Ans E. Trisomy 21- Down Syndrome is associated with Tetralogy of Fallot which has the issues described in the vinget
A. Trisomy 13: Patau syndrome is associated with VSDs
B. Trisomy 18: Edward’s Syndrome is associated with VSDs
C. Turner Syndrome- is associated with coarctation of aorta
D. Fragile X- Mitral regurgitation
A 28 year old man with Edwards syndrome has come to been rushed to the hospital since he has fainted . Examination show that he has a right to left shunt of blood. What is most likely the issue causing the cyanosis.
A. TAPVC B. Tricuspid Atresia C. Eisenmenger Complex D.Tetralogy of Fallot E. Patent Truncus Arteriosus
RFA
Ans. C Eisenmenger Complex
Since the man is older it could not be the other choices since those would show cyanosis near birth.
Eisenmenger Complex is when a left to right shunt, such as a VSD reverse do to build up of pressure in the right side of the heart and reverses and becomes right to left shunt.
A newborn is found to have a machinery-like murmur. What drug will you use to resolve the underlying pathology (MG)
A. Methacyclin
B. Sodium nitroprusside
C. Furosemide
D. Indomethacin
D. Indomethacin
Condition is PDA. Continuous machinery like murmur is specific to PDA
A 22 year old woman is found to have low blood pressure and weak posterior tibial and dorsalis pedis pulses. She also complains of severe pain on her ribs. What condition is she likely to have? (MG)
A. Preductal coarctation of aorta B. Postductal coarctation of aorta C. PDA D. VSD E. ASD F. Tetralogy of Fallot
B. Postductal coarctation of aorta
Rib pain is from notching of ribs due to collaterals
