Congenital Heart Disease

Question 1

Which lesions are acyanotic?

Answer 1

VSD
ASD
PDA

Question 2

In acyanotic lesions, lesions above the nipple give rise to which kind of murmur?

Answer 2

Ejection systolic

Question 3

In acyanotic lesions, lesions below the nipple give rise to which kind of murmur?

Answer 3

Pan systolic

Question 4

What are the clinical signs of ventricular septal defect?

Answer 4

Pan systolic murmur
Loud P2 - pulmonary hypertension

Question 5

What are the clinical signs of atrial septal defect?

Answer 5

may be asymptomatic
ejection systolic murmur at ULSB

Question 6

What are the clinical signs of patent ductus arteriosus?

Answer 6

wide pulse pressure
continuous machinery murmur

Question 7

what is the management of PDA

Answer 7

Indomethacin/ibuprofen
surgical

Question 8

What are the clinical features of coarctation of the aorta?

Answer 8

Absent femoral pulses
Systolic BP is high
Murmur heard between scapulae

Question 9

Describe tetralogy of fallot

Answer 9

Pulmonary stenosis
overriding aorta
ventricular septal defect
RVH

Question 10

What are the symptoms of tetralogy of fallot

Answer 10

Tet spells - cyanosis due to RV to LV shunt

Question 11

What is the management of tetralogy of fallot?

Answer 11

Prostaglandin to maintain PDA until surgery

Question 12

What is the management of coarctation of the aorta?

Answer 12

prostaglandin to maintain PDA until surgery

Question 13

Describe findings in transposition of great arteries?

Answer 13

Cyanosis, tachypnoea, murmur, egg on string CXR