CARDIAC SHORT

Question 1

Ddx of RIGHT sided lateral chest wall scars?

Answer 1

BT shunt
PA band
Non-cardiac (eg trachea-oesophegeal fistula or CDH repair)

Question 2

Ddx of LEFT sided lateral chest wall scars?

Answer 2

Coarct 
PDA
BT shunt
PA band
Non-cardiac

Question 3

Ddx of midline sternotomy scars?

Answer 3

Complex CHD repairs

VSD

Question 4

Ddx abdominal scars?

Answer 4

Pacemaker
Drain site
Non-cardiac

Question 5

Ejection systolic murmur

Answer 5

Outflow tract obstruction

Question 6

Long systolic murmur

Answer 6

Complex RV outflow tract obstruction

Question 7

Pansystolic murmur

Answer 7

VSD

AV valve regurg

Question 8

Continuous murmur

Answer 8

PDA
MAPCAs
Shunting

Question 9

Diastolic murmur

Answer 9

Shunting if Qp:Qs > 2:1
Aortic regurg
Mitral stenosis

Question 10

Ddx for acyanotic lesions with congestive cardiac failure?

Answer 10

LVH due to AVSD or PDA

RVH due to ASD or PAPVR

Question 11

Ddx for cyanotic lesions with congestive cardiac failure?

Answer 11

LVH due to PA w MAPCAS, or TGA VSD, or trunks

RVH due to TGA IVS, TAPVR, HLHS

Question 12

Ddx for acyanotic lesions without congestive cardiac failure?

Answer 12

Aortic stenosis
Coarct
Mitral regurg
Pulmonary or mitral stenosis

Question 13

Ddx for cyanotic lesions without congestive cardiac failure?

Answer 13

LVH due to tricuspid atresia or PA without MAPCAS

RVH due to TOF or Ebstein’s

Question 14

Ddx prolonged PR interval on ECG?

Answer 14

Endocardial cushion defects
RHD
Ebstein’s
Congenital Heart Block (2 to mat SLE)

Question 15

Partial or complete RBBB?

Answer 15

ASD
Ebsteins
Ventriculotomy

Question 16

Superir/northwest axis deviation?

Answer 16

AVSD

Ventricular paced rhythms