Ch 7 VSDs + PDAs

Question 1

Qp: Qs: when evaluating a PDA is computed differently than it is for a VSD or ASD. Your Qp (pulmonary) will be calculated by the LVOT diameter + VTI, your Qs (systemic) will be calculated by the RVOT diameter + VTI (assume we’re not choosing the PA option). True or False?

Answer 1

True

Question 2

What type of VSD is seen in PSAX AoV level, adjacent to the aortic + tricuspid valves?

Answer 2

Membranous/perimembranous

Question 3

What is the M/C type of VSD?

Answer 3

Membranous/perimembranous

Question 4

What is true about the inlet septum? What does it divide?

Answer 4

Division b/w the MV + TV

Question 5

From the PSAX view, you notice a jet appear 1-2 o’clock position of the aortic valve. Which VSD is seen?

Answer 5

Supracristal

Question 6

What type of VSD is seen in AP4 showing color flowing between the LV/RV near the apex?

Answer 6

Muscular/trabecular

Question 7

What type of shunt is seen from PSAX AoV level + shows flow b/w the descending Ao and the beginning of the left pulmonary artery?

Answer 7

PDA

Question 8

Which of the following is not apart of the definitive IVS?

Answer 8

Septum secundum

(IVS = membranous, trabecular, outlet + inlet)

Question 9

A high velocity LT to RT shunt means RVSP is ___?

Answer 9

Low = with pressures on right side lower than left

Question 10

Qp:Qs should be conducted for all shunts you encounter. T/F?

Answer 10

True

Question 11

Eisenmenger syndrome occurs when a VSD has RT to LT shunting. T/F?

Answer 11

True

Question 12

A gerbode VSD connects which 2 chambers?

Answer 12

RA + LV