Cardiology

Question 1

Anatomic closure

Answer 1

2-3 weeks of age

Permanent changes in the endothelium and subintimal layers of the ductus

Question 2

Strongest stimulus for constriction of the ductal smooth muscle which leads to closure of the ductus

Answer 2

Postnatal increase in O2 saturation

Question 3

Medical management for VSD

Answer 3

Digoxin and diuretics for 2-4 months (if with CHF)

Question 4

Functional closure of DA

Answer 4

10-15 hrs after birth

Question 5

Systolic ejection murmur at 2nd LICS w/ widely split S2

Answer 5

ASD

Question 6

Systolic regurgitant murmur at LLSB w/ loud single S2

Answer 6

VSD

Question 7

Continuous machine like murmur at 2nd left infraclavicular area

Answer 7

PDA

Question 8

Mcc of cyanotic congenital heart disease in nb

Answer 8

TGA

Question 9

Egg shaped cardiac silhouette on CXR

Answer 9

TGA

Question 10

Systolic ejection Murmur at the LICS/ LUSB with radiation to the upper back

Answer 10

PS

Question 11

Boot shaped heart

Answer 11

TOF

Question 12

The embryologic precursor to the aorta and pulm artery

Answer 12

Truncus arteriosus

Question 13

Rastelli repair

Answer 13

Truncus arteriosus

Question 14

Snowman sign

Answer 14

TAPVR

Question 15

Rib notching

Answer 15

COA

Question 16

Assoc with congenital rubella

Answer 16

PS

Question 17

Assoc with noonan and william syndrome

Answer 17

PS

Question 18

Ross procedure

Answer 18

Aortic stenosis

Question 19

RF manifestation w/c can cause permanent damage

Answer 19

Carditis

Question 20

Mc valvular inv in adults

Answer 20

Mitral stenosis

Question 21

Weak peripheral pulses with narrow pulse pressure

Answer 21

Mitral stenosis

Question 22

Mc valvular inv in children with RHD

Answer 22

Mitral regurgitation

Question 23

Mc valvular heart disease

Answer 23

MVP

Question 24

Kawasaki disease

Answer 24

Spiking fever up to 40 deg > 5 days, remittent unresponsive to Ab

Question 25

When does Coronary artery aneurysm develop (kawasaki disease)

Answer 25

2nd-3rd week of illness

Question 26

2D Echo in Kawasaki Disease

Answer 26

At diagnosis

After 2-3 weeks of illness