Congenital Heart Disease

Question 1

Wide fixed split second heart sound (S2) Systolic ejection murmur at second left intercostals space with an early to mid-systolic rumble.

Answer 1

Atrial septal defect (ASD)

Question 2

What congenital abnormality should be considered with a child who frequently squats?

Answer 2

Tetralogy of Fallot

Question 3

What medication can assist in closing an open PDA (Patent Ductus Arteriosus)?

Answer 3

Indomethacin

Question 4

What murmur is pansystolic and is best heard mid sternal border?

Answer 4

VSD (Ventricular Septal Defect)

Question 5

What has high blood pressure equally in arms but lower pressure in the legs?

Answer 5

Coarctation of aorta

Question 6

What murmur has a Left parasternal lift pulmonic area ejection murmur and fixed splitting of S2?

Answer 6

ASD (Atrial Septal Defect)

Question 7

What cardiac abnormality is associated with a bicuspid aortic valve?

Answer 7

Coarctation of aorta

Question 8

Name the 4 components of Tetralogy of Fallot

Answer 8

Pulmonary valve stenosis
VSD (Ventricular Septal Defect)
Overriding aorta
RVH (Right Ventricular Hypertrophy)

Question 9

What murmur has a continuous machinery quality?

Answer 9

Patent ductus arteriosus

Question 10

Dyspnea with feeding and poor growth during infancy associated with a harsh; holosystolic murmur heard best at the left sternal border with wide radiation and a fixed, split S2

Answer 10

Ventricular septal defect

Question 11

Higher blood pressures in the arms than in the legs and pulses are bounding in the arms but decreased in the legs.

Answer 11

Coarctation of aorta

Question 12

Crescendo-decrescendo, holosystolic murmur at LSB radiating to the back. Baby with cyanosis and LOC with crying

Answer 12

Tetralogy of Fallot

Question 13

Four features of Tetralogy of Fallot

Answer 13

PROVe:
P ulmonary Stenosis
R ight ventricular hypertrophy
O verriding aorta
V entricular septal defect