Cardiology

Question 1

JONES criteria

Answer 1

Major: Joints (poly arthritis), carditis, Nodules, Erythema marginatum, Sydenham chorea

Minor: Arthralgia, prolonged PR interval, fever, elevated ESR/CRP

Needs 2 major or 1 major with 2 minor

Question 2

5 characteristics of benign murmur

Answer 2

Systolic and relatively quiet
LLSB with radiation to ULSB or upper right
Low pitched
Vibratory
Decrease in intensity with supine to upright

Question 3

Ductal dependent cardiac lesions

Answer 3

Hypoplastic left heart syndrome
Coarctation of aorta (severe)
Interrupted aortic arch
Transposition of great vessels
Ebstein malformation
Tricuspid atresia
Tetralogy of fallot (severe)

Question 4

Pericarditis treatment

Answer 4

NSAIDs

Question 5

Post viral onset, increased CP when supine, diffusely reduced voltages on EKG

Answer 5

Pericarditis

Question 6

SBE prophylaxis rules

Answer 6

Incomplete repaired cyanosis heart disease (esp those with shunts and other hardware)
Heart disease surgically corrected with hardware within previous 6 months
Any residual defect near a prosthetic cardiac device

Question 7

Infant without respiratory distress who present with cyanosis within hours of birth which fails to improve with 100% O2 likely has…

Answer 7

Transposition of great vessels

Needs prostaglandin E1 to keep PDA open

Happy blue baby

Question 8

Infants without respiratory distress who present with severe cyanosis within hours of birth and fail to improve their arterial oxygen content with 100% oxygen therapy may have (3)

Answer 8

transposition of the great arteries
pulmonary atresia
Ebstein malformation

Question 9

How many point difference between predictable and post ductal systolic BPs strongly suggests charcoal or interruption of aorta

Answer 9

10 point difference

Question 10

Critical congenital heart disease aka require treatment in the neonatal period

Answer 10

Transposition of great vessels
Severe coarctation
Interruption of aortic arch
Hypoplastic left heart

All need patent PDA!