Acyanotic Heart Dse.

Question 1

Systolic murmur at the lower border of the sternum
Cardiac catheterization reveals increased PO saturation at right side of the heart.
ECG reveals right sided hypertrophy.

Answer 1

VENTRICULAR SEPTAL DEFECT

Question 2

Systolic murmur at the upper border of the sternum.
Cardiac catheterization reveals increased PO, saturation at right side of the heart.
ECG reveals hypertophy of the right side of heart.

Answer 2

ATRIAL SEPTAL DEFECT

Question 3

Only confirmed by cardiac catheterization.

Answer 3

Endocardial Cushion Defect

Question 4

Continuous machinery-like murmur.
Prominent radial pulse.
ECG reveals left ventricular hypertrophy.

Answer 4

PATENT DUCTUS ARTERIOSUS

Question 5

Typical systolic ejection murmur
S2 sound is widely split
Thrill may be present
ECG reveals right ventricular hypertrophy

Answer 5

PULMONARY STENOSIS

Question 6

ECG reveals left ventricular hypertrophy.
May exhibit symptoms similar to angina

Answer 6

AORTIC STENOSIS

Question 7

Dysphagia
Dyspnea
ECG reveals left ventricular hypertrophy

Answer 7

DUPLICATION OF SORTIC ARCH

Question 8

Absent femoral pulse
BP higher in upper extremities and lower in lower extremitie.
ECG reveals left ventricular hypertrophy
Epistaxis

Answer 8

COARCTATION OF AORTA

Question 9

COARCTATION OF AORTIC ARCH

Answer 9

• Closed heart surgery
• Surgical resection of narrowed portion, end to end anastomosis of aorta, and enlargement of aorta via graft.
• Monitor BP in all four extremities.

Question 10

DUPLICATION OF AORTIC ARCH

Answer 10

Closed heart surgery

Question 11

• Balloon sternotomy
• Valvotomy

Answer 11

Aortic Stenosis

Question 12

Balloon sternotomy
Pulmonary valvotomy
Grafting

Answer 12

Pulmonary Stenosis

Question 13

Indomethacin

Answer 13

PDA

Question 14

Ligation by 3-4 y.o via THORACOTOMY

Answer 14

PDA

Question 15

Open heart surgery - Closing of holes

Answer 15

Endocardial Cushion date .

Question 16

Open heart surgery

Answer 16

Atrial and Ventricular septal defect

Question 17

Cyanosis after firsy cry.
Polycythemia
Cardiomegaly

Answer 17

TRANSPOSITION OF THE GREAT ARTERIES

Question 18

Palliative repair for TOGA

Answer 18

RASHKIND

Question 19

Complete repair for TOGA

Answer 19

Mustard

Question 20

Open foramen ovale
Right to left shunt
Mild to moderate cyanosis
Aspleenia

Answer 20

TOTAL ANOMALOUS PULMONARY VENOUS RETURN (TAPVR)

Question 21

Reconstructing the heart

Answer 21

TAPVR

Question 22

Truncus Arteriosus

Answer 22

Cyanosis
Polycythemia

Question 23

Modified Rastelli Procedure

Answer 23

Truncus Arteriosus

Question 24

Hypoplastic Left Heart Syndrome

Answer 24

Cyanosis
Polycythemia

Question 25

Prostaglandin E Norwood procedure Heart transplant Alprostadil (Prostin VR Pediatric)

Answer 25

HYPOPLASTIC LEFT HEART SYNDROME

Question 26

Keeps ductus arteriosus open

Answer 26

Prostaglandin E

Question 27

Palliative surgery to establish pulmonary and aortic blood flow and creat large ASD.

Answer 27

Norwood Procedure

Question 28

Alprostadil

Answer 28

helps widen BV and keeps DA open. Breathing assistance

Question 29

Open foramen ovale Right to left shunt

Answer 29

TRICUSPID ATRESIA

Question 30

Fontan Procedure

Answer 30

TRICUSPID ATRESIA

Question 31

Corrective surgery that connects the right atrium to pulmonary system via ASD and VSD.

Answer 31

Fontan procedure

Question 32

4 Anomalis of Tetralogy of Fallot

Answer 32

Pulmonary Stenosis VSD Overriding of aorta Right ventricular hypertrophy

Question 33

High degree cyanosis Polycythemia Severe dyspnea Syncope Tet spells Mental retardation

Answer 33

TETRALOGY OF FALLOT

Question 34

Oxygen therapy Morphine sulfate Propanolol Blalock Taussig Brock

Answer 34

TETRALLOGY OF FALLOT

Question 35

Relieves hypoxic episode. Used when Px is having tet spells.

Answer 35

Morphine Sulfate

Question 36

Beta blocker that decreases heart spasm

Answer 36

Propanolol

Question 37

Palliative repair for ToF

Answer 37

Blalock Taussig

Question 38

Anastomosis of the subclavian vein to the pulmonary artery to increase pulmonary blood flow.

Answer 38

Blalock Taussig

Question 39

Complete repair for ToF

Answer 39

Brock

Question 40

Penicillin Salicylates

Answer 40

RHEUMATIC HEART DSE.

Question 41

Complete bed rest Avoid contact sports Prepare for culture and sensitivity via throad swam Administer antibiotic to prevent recurrence Give Aspirin

Answer 41

RHEUMATIC HEART DSE.

Question 42

Encepalopathy accompanied by fatty infiltration of liver and brain.

Answer 42

REYE'S SYNDROME