Cardiology Flashcards

1
Q

Normally, where is the higher pressure area of the heart?

A

Left side

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2
Q

What are the diagnostic criteria of Kawasaki’s?

A

Fever * 5 days, contractiva retinopathy, rash that is polymorphic, adenopathy, strawberry lips and tongue, hands that are swollen and then peel Fiery CRASH

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3
Q

What congenital heart defect is associated with a boot-shaped heart on x-ray?

A

Tetralogy of fallot

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4
Q

14 steps of blood flow through the heart.

A

Inferior / superior vena cava, right atrium, tricuspid valve, right ventricle, pulmonic valve, pulmonary arteries, lungs, pulmonary veins, left atrium, mitral valve, left ventricle, aortic valve, aorta, body

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5
Q

What are the Jones criteria?

A

Criteria used to diagnose rheumatic fever

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6
Q

What two valves are smaller and make the quieter lub sound, S1?

A

Tricuspid and mitral

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7
Q

What genetic syndrome is associated with aortic arch anomalies?

A

DiGeorge syndrome

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8
Q

What systolic ejection murmur is best heard at the left upper sternal border?

A

Atrial septal defect

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9
Q

What lab findings are associated with Kawasaki disease?

A

Elevated ESR and CRP

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10
Q

what congenital heart defect is associated with a loud systolic ejection click at the middle and upper left sternal border?

A

Tetrology of flow

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11
Q

What innocent murmur is best heard at the right upper sternal border?

A

Venus hum

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12
Q

What infection precipitates rheumatic fever?

A

Group a strep

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13
Q

Where are diastole sounds?

A

Between S2 and s1

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14
Q

What aspect of the heart is most often affected by rheumatic fever?

A

Mitral valve

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15
Q

Where are aortic or mitral sounds heard?

A

Apex or Erb’s point

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16
Q

What two valves are larger and make the louder dub sound, S2?

A

Pulmonic and aortic

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17
Q

What do blood pressure and pulse oximetry variations between the upper and lower extremities signify?

A

Coarctation of the aorta

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18
Q

Will an innocent murmur be louder or softer when sitting compared to standing?

A

Louder when sitting

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19
Q

What innocent murmur is best heard at the left lower sternal border and the apex

A

Still’s murmur

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20
Q

What congenital heart defect is an egg on a string on x-ray?

A

Transposition of the great arteries

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21
Q

What murmur is a holocystolic machinery sound?

A

Patent ductus arteriosus

22
Q

What are the four defects of tetralogy of fallot?

A

Large VSD, pulmonary stenosis, overriding aorta, right ventricular hypertrophy

23
Q

What change occurs at birth in the heart?

A

Decrease in the fetal pulmonary vascular resistance and increase in the systemic vascular resistance

24
Q

What is the leading cause of coronary artery disease in children of an infectious etiology?

A

Kawasaki disease

25
Q

What is secondary hypertension?

A

Hypertension as a symptom of other organ dysfunction

26
Q

What is the most common innocent murmur?

A

Still’s murmur

27
Q

What congenital heart defect is associated with a systolic ejection click, and a systolic thrill best hurt at the right upper sternal border?

A

Aortic stenosis

28
Q

What is a tet spell?

A

Child’s response to hypersonic episode where they pull their knees up for better circulation

29
Q

What murmur is due to turbulence in the left ventricular outflow tract?

A

Still’s murmur

30
Q

What systolic ejection murmur is a hollow systolic thrill heard the left lower external border

A

Ventricular septal defect

31
Q

What aspect of tetralogy of fallot determines how soon surgery will be?

A

Size of the VSD could allow for a delay in surgery until the child can grow

32
Q

Where are systole sounds?

A

Between s1 and S2

33
Q

Where are aortic sounds heard?

A

Right upper sternal border

34
Q

Where are aortic sounds heard?

A

Right upper sternal border

35
Q

What genetic defect is associated with aortic regurgitation in mitral valve prolapse?

A

Marfan syndrome

36
Q

what secondary congenital heart defect is necessary for a child with transmission of the great arteries to survive until surgery?

A

Ventricular septal defect

37
Q

Where are pulmonic sounds heard?

A

Left upper sternal border

38
Q

What congenital heart defect is associated with an aortic click best heard at the Apex?

A

Coarctation of the aorta

39
Q

At birth what area has higher pressure?

A

Right side of heart

40
Q

What congenital heart defect is best heard at the left upper sternal border as a systolic ejection click or thrill?

A

Pulmonic stenosis

41
Q

How is hypertension diagnosed?

A

Average blood pressure greater than the 95th percentile with measures obtained on at least three separate occasions

42
Q

What are the four minor criteria of the Jones criteria?

A

Arthralgia, fever, elevated inflammatory levels, evidence of a group a strep infection

43
Q

What maneuver can be done to test for a venous hum?

A

Turning head and/or compressing neck ipsilaterally will cause sound to disappear

44
Q

What is the treatment of Kawasaki disease?

A

High dose aspirin therapy

45
Q

What purpose does a patented ductus arteriosus serve in the fetus?

A

Small hole between the pulmonary arteries and the aorta that allows maternal blood to circulate in the body as lungs develop

46
Q

List the five major manifestations of the Jones criteria

A

Carditis, poly arthritis, chorea, erythema marginatum, subcutaneous nodules

47
Q

Where are ventricular septal defect or tricuspid sounds heard?

A

Left lower sternal border

48
Q

What is a post infectious inflammatory disease that can affect the hearts, joints, and central nervous system?

A

Rheumatic fever

49
Q

How many aspects of the Jone’s criteria are required to diagnose Rheumatic Fever?

A

2 major or 1 major and 2 minor

50
Q

How many Kawasaki criteria suggest a high likelihood of coronary vessel involvement?

A

fever AND 4 of the 6 critera

51
Q

What are the three phases of Kawasaki’s disease?

A

Acute phase which is symptomatic, subacute which is the resolution of fever and other symptoms, convalescent which is the abnormal lab values remain abnormal

52
Q

If on high dose aspirin for Kawasaki disease when should the aspirin be stopped?

A

Stopped for 6 weeks if flu or chickenpox develop