COMQUEST Heart

Question 1

Cyanotic congenital heart disease at age 3, what’s the diagnosis?

Answer 1

Tetralogy of Fallot (blue baby after day one, all others are present at birth)

Question 2

Down syndrome baby and a question about congenital heart disease=?

Answer 2

Atrioventricular septal defect

Question 3

Fixed split at S2?

Answer 3

Atrial septal defect

Question 4

Holosystolic murmur in a neonate, whats the diagnosis?

Answer 4

VSD

Question 5

Holosystolic murmur in adult, whats the diagnosis?

Answer 5

mitral regurgitation

Question 6

Mom has diabetes (pre-gestational, NOT GESTATIONAL) and the question asks about congenital heart disease

Answer 6

Transposition of the Great Vessels (blue baby from day 1)

Question 7

Warmer upper extremities, cool lower extremities in a child, whats the diagnosis?

Answer 7

Coarctation of the aorta

Question 8

What are indications to surgically repair a VSD?

Answer 8

Right-sided hypertrophy, increased right-sided pressures, failure to thrive, and heart failure (amongst others)

Question 9

you want to close Patent Ductus, what do you give?

Answer 9

Indomethacin

Question 10

You want to keep the Patent Ductus open, what do you give?

Answer 10

prostaglandin (like in Transposition)

Question 11

signs and sx of Tetralogy of Fallot?

Answer 11

• Overriding aorta
• pulmonary stenosis / RV outflow tract obstruction (harsh systolic ejection murmur at left upper sternal border)
• RVH
• VSD
• decreased pukmonary blood flow (lessening of murmur and worsening of cyanosis with crying)
• clubbing
• TET spells
  *

Question 12

signs and sx of transpotision of the great arteries?

Answer 12

• profound cyanosis within the first 24 hours of life
• immediately give prostaglandin to keep PDA open and take to surgery

Question 13

harsh, holosystolic murmur in infant with poor feeding and poor weight gain

Answer 13

VSD

Question 14

newborn infant with cyanosis whose O2 decreases when given oxygen. Problem and treatment?

Answer 14

congenital cyanotic heart defect that is PDA dependent; give prostaglandins

Question 15

2 day old infant (about the time the PDA closes) with hypothermia, tachycardia, cyanosis, respiratory distress, hepatosplenomegaly (signs of shock). Heart=right ventricular impuls with a single second heart sound.

Answer 15

hypoplastic left heart syndrome;presents in the first 24-48 hours of life with signs and sx of cardiac shock and profound acidosis