Congenital Heart Defects Clinical

Question 1

the widened fixed splitting of S2 is seen with what defect?

Answer 1

atrial septal defect

Question 2

what is a RV heave

Answer 2

systolic impulse along lower left sternal border seen with atrial septal defect

Question 3

bicuspid aortic valve is most commonly associated with?

Answer 3

coarctation of the aorta

Question 4

what is the genetic of turner syndrome

Answer 4

45 xo –>coarctation of the aorta

Question 5

what is differential cyanosis?

Answer 5

Occurs in coarctation of aorta,

cyanosis in lower extremities b/c of PDA and upper extremities are fine.

Question 6

what radiographic findings are there with coarctation of the aorta?

Answer 6

rib notching

Question 7

deletion of what microsome results in tetralogy of fallot

Answer 7

22q11

Question 8

what do children do when they have tetralogy of fallot

Answer 8

squat

Question 9

what are the symptoms related to tetralogy of fallot

Answer 9

spells post exertion, irritibility, hyperventilation, syncope, crying

Question 10

what results from eisenmenger syndrome?

Answer 10

left to right shunting reverses to right to left

Question 11

this is a condition of severe pulmonary vascular obstruction that results from chronic left to right shunting

Answer 11

eisenmenger syndrome

Question 12

what type of morphology is seen in eisenmenger syndrome?

Answer 12

hypertrophied arteriolar media and intimal proliferation

Question 13

when is the a wave in jugular venous pulsation prominent?

Answer 13

eisenmenger syndrome showing increased right pressure