Cardiorheumatology Flashcards

1
Q

Treatment for pill overdose

A

ICU admission
Close monitoring
FAB antibody fragments

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2
Q

Most common finding of rheumatic fever

A

Arthralgia

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3
Q

Coronary artery disease risk management

A

Screen the parents for total cholesterol

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4
Q

Swelling of hands and feet after exercise or emotical stress

A

Hereditary angioedema

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5
Q

Short stature
Webbed neck
Infertility

A

XO karyotype

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6
Q

Probability of heart disease in future children after a new born is born with congenital heart disease

A

2-6%

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7
Q

Loud first heart sound

Fixed and widely split second heart sound (upper left sternal border)

A

Atrial septal defect (ASD)

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8
Q

Erythematous macular exanthem
Ocular conjunctivitis
Dry and cracked lips
Red throat

A

Kawasaki disease

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9
Q

Gallop heart sounds

Cardiomegaly

A

Myocarditis

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10
Q

Cyanosis
Hepatomegaly
Diaphoresis

A

Paroxysmal atrial tachycardia

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11
Q

Management for infant with tachycardia, listlessness and pallor

A

Carotid massage

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12
Q

S3 and S4 systolic murmur in pulmonic area

Mid diastolic murmur along lower left sternal border

A

Ebstein anomaly

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13
Q

Cyanosis after exercise

A

Wolf Parkinson White Syndrome

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14
Q

Spindle shaped swelling of joints

A

Juvenile rheumatoid arthritis

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15
Q

Holosystolic murmur

LVH

A

Tricuspid atresia

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16
Q

ECG axis of 120

RV prominence

A

Transposition of the great vessels

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17
Q

Click heart sound

Hyperextensible skin and easy bruising

A

Mitral valve prolapse

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18
Q

Treatment for cyanotic newborn with deep and quick breathing

A

Prostoglandin E1 infusion

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19
Q

Shortened lower distal arms

Low platelet count

A

ASD

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20
Q

Shield like chest

Malformed ears

A

Pulmonic stenosis

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21
Q

Short of breath and dizzy during exercise

Occasional chest pain

A

Hypertrophic cardiomyopathy

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22
Q

Emotionally induced syncopal episodes

A

Prolonged QT sydnrome

23
Q

Large liver
Petechiae
Erythematous rash

A

Congenital Heart Block

24
Q

Apathetic
No weight gain
Tachypneic

A

Congestive heart failure

25
Q

Age when infant with LVSD begins showing symptoms of congenital heart failure

A

1 month

26
Q

Dominant mechanism to increase CO

A

By increasing heart rate

27
Q

Earliest sign of congestive heart failure on X ray

A

Increased heart size

28
Q

Decreased pulmonary vascular markings

Left axis deviation

A

Tricuspid atresia

29
Q

Cyanosis
Limpness
Unresponsiveness

A

Teratology of fallout

30
Q

Infant with cyanotic congenital heart defect and decreased pulmonary vascularity treatment

A

Prostaglandin E1

31
Q

Level of deoxygenated hemoglobin in cyanosis

A

3-5 gm/dL

32
Q

Pulmonary vascularity is NOT decreased in

A

TAPVR

33
Q

Difference between RHD and ARF

A

In RHD there is evidence of chronic heart disease

34
Q

What is NOT included in Jones Major criteria

A

Maculopapular rash

35
Q

Jones criteria for swollen knee, recent swollen wrist and fever

A

1 major

1 minor

36
Q

ARF symptoms (most to least common)

A

Arthritis, carditis, chorea, erythema marginatum

37
Q

Salicylates are directed at what ARF symptom?

A

Arthritis

38
Q

Corticosteriods are directed at what ARF symptom?

A

Severe carditis

39
Q

Most common microorg in pediatric infective endocarditis

A

Strep viridans

40
Q

Most common etiologic factor of myocarditis

A

Viral

41
Q

What is not a minor criteria for infective endocarditis

A

Vegetation on ECG

42
Q

Most severe clincal manifestation of pediatric myocarditis

A

Acute congestive heart failure

43
Q

Best test to diagnose myocarditis

A

Cardiac MRI

44
Q

Treatment for pediatric postpericardiotomy syndrome

A

“All of the above”

45
Q

Right aortic arch

Aberrant left subclavian

A

Vascular ring

46
Q

Left aortic arch

Aberrant right subclavian

A

Dysphagia

47
Q

Tracheobronchial anomaly

A

Pulmonary artery sling

48
Q

Not a symptom of vascular rings

A

Hoarse cry

49
Q

Cause of syncope

A

Vasovagal

50
Q

What mutations cause long QT syndrome

A

NA, K and Ca channel

51
Q

Brugada syndrome

A

Hereditary arrhythmia syndrome

52
Q

Treatment to prevent arythmia in patients with long QT syndrome

A

Propranolol

53
Q

Mechanism of SCD in Brugada syndrome

A

Ventricular reentry tachycardia