Cardiac

Question 1

Acyanotic with congestive cardiac failure and LVH or BVH

Answer 1

VSD
AVSD
PDA

Question 2

Acyanotic with congestive cardiac failure and RVH

Answer 2

ASD (RSR’ pattern)
PAPVD

Question 3

Acanotic with no heart failure and LVH

Answer 3

AS
Coarctaction
MR

Question 4

Acyanotic with no heart failure and RVH

Answer 4

PS
MS

Question 5

Cyanotic without CCF + LVH

Answer 5

PA with poor MAPCAs
Tricuspid atresia

Question 6

Cyanotic without CCF and RVH

Answer 6

Tetralogy of fallot
Ebsteins anomaly

Question 7

Cyanotic child

Answer 7

Tetralogy (unrepaired vs shunt)
PA VSD (MAPCAs or shunt)
TGA unrepaired
Unbalalnced AVSD
BCPS (bi-directional cavo-pulmonary shunt)
Fontan with fenestration

Question 8

Previous surgery and acyanotic

Answer 8

Repair of congential heart disease
ASD/VSD/AVSD repair
Tetralogy repair
Arterial switch
TAPVD
Fontan without fenestration
“the murmur is consistent with residual…”

Question 9

Previous surgery and cyanotic

Answer 9

“Pallative surgery for complex/cyanotic congential heart disease, this may be a staged procedure and the patient remains cyanosed”
Shunted circulations: tetralogy/pulmonary atresia, single ventricle with PS, Norwood procedure
Single ventricle lesions
“Many complex heart lesions may lead to single ventricle physiology”

Question 10

RVH

Answer 10

• Uprioght T waves in V1
• Abnormal R wave amplitude in V1 or S in V6
• RAD for age

Question 11

LVH

Answer 11

• R wave in V6 and S wave in V1>60
• T wave inversion in V5/V6
• Abnormally large R waves in V6 or S waves in V1