Cardiology Flashcards

1
Q

Differential Cyanosis

A

post-ductal; cyanosis of lower extremities (toes)

ex: aortic arch obstruction, R->L shunt

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2
Q

Reverse Differential Cyanosis

A

Pre-ductal, cyanosis of fingers

TGA

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3
Q

S4 in children, differential

A

AS, HOCM, MR

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4
Q

TR associated with

A

Ebstein Anomaly

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5
Q

Peripheral Pulmonary Stenosis

A

increase in blood flow to lungs via pulmonary artery

SEM, back and axilla

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6
Q

Venous Hum

A

blood draining from collapsed jugular veins into dilated intrathoraic veins
low pitched murmur, absent when supine

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7
Q

Innocent Murmur and position

A

increase when supine (increase in stroke volume)

softer w/ Valsalva

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8
Q

Aschoff Bodies

A

giant cells seen in heart associated with RF

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9
Q

ARF - 5 Jones Criteria

A
polyarthirtis
carditis
chorea
subq nodules
erythema marginatum
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10
Q

Carditis associated with ARF

A

Mirtral regurg
Myocarditis
Pericarditis

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11
Q

Erythema Marginatum appearance

A

serpiginous

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12
Q

Chronic treatment of ART

A

PCN for minimum of 5 years or until age 21

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13
Q

Most common cardiomyopathy in children

A

dilated

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14
Q

ASD - Ostium Secondum

A

Most Common
Fixed Splitting + RVOT
RVOT across pulmonic valve = SEM, best heard at LUSB

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15
Q

EKG associated w/ ASD

A

RAD, RVH

except, primum = LAD

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16
Q

ASD - Ostium Primum

A

partial AV canal defect, MR and TR

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17
Q

LVH on EKG =

A

tall R + negative T wave in V6

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18
Q

Anomalous Origin of Left Coronary Artery from Aorta

A

chest pain w/ exercise or SCD

when aorta dilates during exercise, cuts off blood supply to coronaries

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19
Q

Most common cause of cyanosis in first days of life =

A

TGA

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20
Q

d-TGA anatomy

A

pulmary artery connected to LV
Aorta connected to RV
need some type of connectin (PFO, PDA, VSD)

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21
Q

TGA CXR will show

A

egg or oval shaped heart

22
Q

dTGA treatment

A

PGE1
balloon atrial septostomy to create AsD for mixing
additionally needs arterial switch surgery

23
Q

Most Common Symptomatic Aortic Arch Abnormality

A

double aortic arch

24
Q

Double Aortic Arch

A

encircling of the trachea and esophagus
will cause tracheal compression and resp compromise
associated with DiGeorge Syndrome

25
Q

Diving Seal Reflex

A

place an ice bag on infant’s face for 10-20 seconds

26
Q

Romano-Ward Syndrome

A

AD QT prolongation

27
Q

Jervell and Lange-Nielseln Syndrome

A

AR QT prolongation

+ sensoneurial hearing loss

28
Q

Ebstein Anomaly

A

septal leaflets of tricupsid valve are displaced downward

huge heart/RA

29
Q

Ebstein Anomaly associations

A

maternal lithium use

30
Q

Severe Pulmonary Stenosis

A

will present as severe cyanosis requiring PGE1

presents similar to pulmonary valve atresia, requiring PDA for flow

31
Q

Mild-Moderate Pulmonary Stenosis Murmur

A

systolic ejection click + systolic C-D murmur

32
Q

VSD murmur

A

harsh, holosytolic, loudest at LLSB (similar to MR)

33
Q

PDA murmur

A

systolic/continuous murmur over left precordium

34
Q

PDA is

A

fetal connection between aorta and pulmonary artery

35
Q

Tricuspid Atresia presents as

A

cyanosis hours to days after birth

L superior axis deviation and LVH are present

36
Q

Tetraology of Fallot components

A

VSD
Overriding aorta
RVOT
RVH

37
Q

Treatment of Tet Spells

A
increase SVR or decrease PVR
calm the child (decrease PVR)
knees to chest (increase SVR)
oxygen
beta block
morphine
38
Q

Surgery or TOF

A

VSD patch closture

relief of PS/RVOT with transannular patch

39
Q

TOF genetic syndrome associations

A

DiGeorge, Down Syndrome, trisomy 13, 18, Alagille, CHARGE

40
Q

MVP

A

mid-late systolic murmur, louder with standing

41
Q

Aberrant Right Subclavian Artery

A

most common aortic arch anomaly

rarely causes symptoms

42
Q

Snowman or Figure 8 on imaging

A

total anomalous pulmonary venous return

pulmonary veins drain into the SVC

43
Q

Cardiac association with Williams Syndrome

A

supravalvular aortic stenosis

44
Q

Hypoplastic Heart Syndrome, correction

A

Norwood, Gleen, Fontan

45
Q

Hypoplastic Left Heart Syndrome abnormalities

A

underdeveloped LV
underdeveloped aorta
PDA dependent
ASD

46
Q

Side effect of procainamide

A

drug induced SLE

47
Q

Rs pattern

A

normal in infants due to right ventricular predominance

48
Q

Cardiac Rhabdomyomas associated with

A

Tuberous Sclerosis

49
Q

CHD associated with fetal alcohol syndrome

A

septal defects, i.e. .VSD

50
Q

Mechanism for SVT in neonates

A

AV re-entry