cardiovas

Question 1

innermost layer of the heart

Answer 1

endocardium

Question 2

outermost layer of the heart

Answer 2

pericardium

Question 3

inner layer of the pericardium

Answer 3

visceral

Question 4

outer layer of the pericardium

Answer 4

parietal

Question 5

a regurgitation in the heart indicates

Answer 5

valvular problem

Question 6

pathognomonic of PDA

Answer 6

machinery-like murmur

Question 7

cause of PDA

Answer 7

ductus arteriosus did not close during birth

Question 8

DOC for PDA

Answer 8

indomethacin (prostaglandin inhibitor)

Question 9

secondary drug for PDA

Answer 9

ibuprofen

Question 10

harsh systolic murmur heard in the 2nd/3rd pulmonic area (S2) split.
L-R shunting

Answer 10

ASD

Question 11

loud harsh pansystolic murmur in the 3rth-4th interspace and palpable thrill
deoxy->oxy mixing

Answer 11

VSD

Question 12

most common congenital heart defect

Answer 12

PDA

Question 13

narrowing of the lumen of the aorta(descending)
inc pressure;dec output

Answer 13

coarctation of the aorta

Question 14

there is ribnotching or rib deformity

Answer 14

COA

Question 15

there is different BP result from lower and upper extermities

Answer 15

COA

Question 16

surgery for COA

Answer 16

angioplasty w/ coronary stenting @ 3y/o

Question 17

4 problems in TOF

Answer 17

(VOPE)
Enlarged Ventricular(right) or hypertrophy
Overriding of the aorta
Pulmonary stenosis
VSD

Question 18

primary problem in TOF

Answer 18

pulmonary stenosis

Question 19

compensation of the primary problem?

Answer 19

hypertrophy of the R.ventricles

Question 20

what keeps the patient alive in TOF

Answer 20

VSD (may help the overworked RV)

Question 21

purpose of knee chest position in TOF

Answer 21

dec venous return -> to dec cardiac workload & to conserve O2 in the vital organs

Question 22

palliative tx for TOF

Answer 22

Blalock Taussig shunt

Question 23

DOC for TOGA

Answer 23

prostaglandin (to maintain the PDA-keeps the PDA open)

Question 24

surgery for TOGA

Answer 24

Arterial switch/jatene artery - done in the 1st week of life

Question 25

after cardiac surgery- no PE for about?

Answer 25

2 months

Question 26

after cardiac surgery- can return to school at?

Answer 26

3rd week after discharge

Question 27

avoid immunization and invasive procedures(dentist) for

Answer 27

2 months

Question 28

inability of the heart to pump efficiently to meet metabolic demands

Answer 28

CHF

Question 29

inflammatory autoimmune dse that affects the connective tissues

Answer 29

RF

Question 30

JONES criteria

Answer 30

2 major + hx or 1 major + 2 minor + hx

Question 31

Major symptoms in RF

Answer 31

Carditis
Chorea (worm like movement or St. Vitus dance
Polyarthritis
Ertythema marginatum (trunk)
Subq nodules- bony prominences

Question 32

DOC for RF

Answer 32

Penicillin (5-10 days)

Question 33

if allergic to the DOC for RF give

Answer 33

clindamycin/erythromycin

Question 34

purpose of giving salicylates in RF

Answer 34

analgesics and anti-inflammatorya

Question 35

late sign of HF

Answer 35

hypokinetic heart

Question 36

toxicity in Digoxin/lanoxin

Answer 36

NAVDA

Question 37

also known as mucomutaneous lymph node syndrome

Answer 37

kawasaki dse

Question 38

most serious compication of kawasaki dse

Answer 38

coronary artery aneurysm

Question 39

has multiple systemic vasculitis

Answer 39

kawasaki dse

Question 40

pathognominoc of kawasaki

Answer 40

strawberry red tongue