Boards Flashcards

1
Q

What is the most common congenital disorder in newborns?

A

Congenital heart disease (CHD)

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2
Q

What is the most common defect with CHD?

A

VSD

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3
Q

When CHD most likely associated with abnormal chromosomes what are the common defects?

A

AVSD, VSD,TOF

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4
Q

When CHD is least likely associated with abnormal chromosomes what are the common defects?

A

Heterotaxy, D-TGA

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5
Q

When CHD is most likely associated with non-cardiac anomalies what are the common defects?

A

TOF, Coarctation, PS

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6
Q

What is another name for 22q11 deletion?

A

DiGeorge Syndrome

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7
Q

What type of CHD is associated with DiGeorge Syndrome?

A

Conotruncal defects, VSD

95% risk factor

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8
Q

What CHD is associated with Noonan Syndrome?

A

Pulmonary Stenosis

65% risk factor

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9
Q

What is another name for 7q11.23 deletion?

A

Williams Syndrome

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10
Q

What types of CHD are associated with Williams Syndrome?

A

Aortic stenosis, Pulmonary stenosis, VSD

100% risk factor

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11
Q

What is another name for Trisomy 18?

A

Patau Syndrome

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12
Q

What type of CHD are associated with Patau Syndrome?

A

VSD and ASD

90% risk factor

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13
Q

What is the most common CHD associated with Downs syndrome?

A

AVSD

50% risk factor

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14
Q

What are some common teratogens associated with CHD.

A

Alcohol, Indomethacin, Lithium

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15
Q

What is the most common defects associated with Lithium?

A

Ebstein Anomaly, Tricuspid Atresia, ASD, and Mitral Atresia

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16
Q

What is the most common defect associated with Indomethacin?

A

Premature ductus arteriosus closure

17
Q

What is organogenesis?

A

The period where all major organ systems form between the 3rd and 8th week of development

18
Q

When does the heart start to beat?

A

approximately day 28 or between day 16-28

19
Q

What aortic arches form the main aortic arch?

A

the four pair of arteries

20
Q

What vein becomes the SVC?

A

The right cardinal vein

21
Q

If the right umbilical vein does not disappear what will occur?

A

gastroschisis

22
Q

What vein becomes the umbilical vein?

A

left umbilical vein

23
Q

What vein becomes the IVC?

A

right vitelline vein

24
Q

What are the 6 pathogenetic classification of congenital heart disease?

A
Tissue migration abnormalities
Abnormal Intracardiac blood flow
Cell death abnormalities
Extracelluar matrix abnormalities
Abnormal targeted growth
Abnormal situs and looping defects
25
Q

What are some tissue migration abnormalities defects?

A
Sub- arterial VSD
Double-outlet right ventricle
Tetralogy of fallot
Persistent truncus arteriosus
Complete transposition of the great arteries
26
Q

Abnormal intracardiac blood flow

A

they may be progressive so therefore are not apparent until later in gestation. The smallest change in caliber can influence blood flow.
Altered resistance in the placenta can affect blood flow

27
Q

What type od defects are associated with Abnormal intracardiac blood flow?

A

Atresia, stenosis, hypoplastic , and valve defects

28
Q

What is apoptosis?

A

abnormal cell death

29
Q

The ventricular septum and heart walls(myocardium) are formed by what?

A

compaction of cells

30
Q

What are some common defects associated with cell death abnormalities?

A

Muscular VSD and Ebstein anomaly