Congenital Heart disease

Question 1

CHD symptoms

Answer 1

heart failure, poor feeding, dyspnoea, tachycardia, hepatomegaly, acidosis

Question 2

Cyanotic HD

Answer 2

TGA, tetralogy of Fallot

Question 3

VSD signs

Answer 3

loud pan systolic murmur
ECG - ventricular hypertrophy and strain
CXR - Cardiomegaly

Question 4

VSD course

Answer 4

20% close spontaneously if small, larger need surgery

Question 5

ASD signs

Answer 5

systolic murmur ULSE
ECG - RVH and RBBB
CXR - cardiomegaly

Question 6

ASD course

Answer 6

Variable, depends on site

Question 7

Pulmonary stenosis signs

Answer 7

Asymptomatic, ejection systolic murmur ULSE, thrill

Question 8

PDA signs

Answer 8

continuous murmur below left clavicle, thrill, collapsing pulse, failure to thrive

Question 9

PDA course and rx

Answer 9

Ibuprofen, surgery at 1y if persistent

Question 10

Coarctation of aorta signs

Answer 10

HTN, radio-fem delay, ejection systolic murmur at ULSE
ECG - LVH and strain
CXR - rib notching ‘3’ sign

Question 11

Coarctation of aorta course

Answer 11

stent or surgery by 5y

Question 12

TGA signs

Answer 12

cyanosis by day 1/2

Question 13

TGA course

Answer 13

maintain PDA (prostaglandins), surgery in first few days of life

Question 14

What is Tetralogy of Fallot

Answer 14

large VSD, overriding aorta, RVH, Pulmonary stenosis

Question 15

Tetralogy of Fallot signs

Answer 15

Cyanosis, ejection systolic murmur ULSE

Question 16

Tetralogy of Fallot course

Answer 16

Corrective surgery