Cardio

Question 1

Fetal cardiac output depends on

Answer 1

Heart rate

Question 2

Strongest stimulus for constriction and closure of ductus

Answer 2

Postnatal increase in O2 saturation of the systemic circulation

Question 3

Functional and anatomic closure of ductus arteriosus

Answer 3

10-15 hours

2-3 weeks

Question 4

The dyspnea in TOF is due to this defect

Answer 4

Pulmonary stenosis

Question 5

Systolic ejection murmur at 2nd ICS left
Widely split S2
Right sided enlargement

What congenital heart disease?

Answer 5

ASD

Question 6

Systolic regurgitant murmur at LLSB
Loud and single S2
Left sided enlargement, biventricular hypertrophy if with Eisenmenger

Answer 6

VSD

Question 7

Continuous machinery like murmur at 2nd left infraclavicular area
Bounding pulses
Wide pulse pressure
Left sided enlargement, enlarged aorta

Answer 7

PDA

Question 8

What position should you put the child if he is having a hypoxic spell?

Answer 8

Knee chest

Question 9

One method aside from 2D echo that can distinguish cyanotic heart disease from pulmonary disease

Answer 9

Hyperoxia test

Question 10

Endocardial cushion defect is seen in what disorder

Answer 10

Down syndrome

Question 11

Cyanosis manifesting within few hours after birth or few days of life

Answer 11

TGA

Question 12

Cyanosis manifesting after the first year of life

Answer 12

TOF

Question 13

Egg shaped cardiac silhouette

What congenital heart disease?

Answer 13

TGA

Question 14

Lesion in coarctation of the aorta is usually seen where

Answer 14

Descending aorta

Question 15

Hypertension in the upper extremities
Weak, delayed femoral pulses
Rib notching

Answer 15

Coarctation of the aorta

Question 16

What genetic defect is usually associated with coarctation of the aorta?

Answer 16

Turner syndrome

Question 17

Systolic ejection murmur at LUSB with radiation to the upper back

Answer 17

Pulmonic stenosis

Question 18

Boot shaped heart

Answer 18

TOF

Question 19

Snowman

Figure of 8 heart

Answer 19

PATVR

Question 20

Inverted E

3 sign heart

Answer 20

Coarctation of aorta

Question 21

Continuous murmur

Cyanosis on lower extremities

Answer 21

PDA

Question 22

Child with exercise intolerance and easy fatigability

Late systolic murmur with opening click
Palpitations

Answer 22

MVP

Question 23

Child with exercise intolerance and easy fatigability

Disparity in pulsation and BP in arms and legs
Weak popliteal, tibial, dorsalis pedis pulse

Answer 23

Coarctation

Question 24

Child with exercise intolerance and easy fatigability

Widely split S2 and fixed in all phases of respiration

Answer 24

ASD

Question 25

Child with exercise intolerance and easy fatigability Loud harsh blowing holosystolic murmur

Answer 25

VSD

Question 26

Child with exercise intolerance and easy fatigability Wide pulse pressure Bounding peripheral arterial pulse Continuous murmur

Answer 26

PDA

Question 27

Heart defect associated with rubella

Answer 27

PDA

Question 28

Heart defect associated with DM

Answer 28

TGA

Question 29

Heart defect associated with lupus

Answer 29

Complere heart block

Question 30

Heart defect associated with aspirin

Answer 30

Persistent pulmonary HTN

Question 31

Heart defect associated with alcohol intake

Answer 31

VSD, pulmo stenosis

Question 32

Heart defect associated with lithium

Answer 32

Ebstein anomaly

Question 33

Most consistent feature of acute rheumatic fever

Answer 33

Valvulitis

Question 34

Nonpruritic serpiginous or annular erythematous evanescent rashes most prominent on the trunk and inner proximal portions of the extremities

Answer 34

Erythema marginatum

Question 35

Duration of Antibiotic prophylaxis for RF without carditis

Answer 35

5 years or until 21 years old

Question 36

Duration of Antibiotic prophylaxis for RF with carditis but without valvular disease

Answer 36

10 years or until 21 years old

Question 37

Duration of Antibiotic prophylaxis for RF with carditis and valvular disease

Answer 37

10 years or until 40 years old sometimes lifetime

Question 38

Major criteria for diagnosis of infective endocarditis

Answer 38

Positive blood culture | Echocardiographic finding

Question 39

Tender pea sized intradermal nodules in the finger pads seen in IE

Answer 39

Osler nodes

Question 40

Painless small erythematous hemorrhagic lesions on the palms and soles Seen in IE

Answer 40

Janeway lesions

Question 41

Linear lesions beneath the nails seen in IE

Answer 41

Splinter hemorrhages