Congenital heart disease

Question 1

Esienmenger disease can develp in?

Answer 1

Ventral septal defect

Question 2

What are the ventral septal defects clincal findings?

Answer 2

Pan systolic murmr

Parastrenal systolic thrill

Echo is the diagnosis tool

Question 3

When symptoms of LT-to-RT shunt start ?

Answer 3

After 4-6 week of birth

Question 4

What are the symptoms of L-R shunt defects?

Answer 4

SOB
Fatigue
Excessive scalp sweeting
Repeated chest infection

Question 5

What are the pathogomonic findings in atreial septal defect ?

Answer 5

Fixed split second heart sound

Soft basal ejection systolic murmur

Right axis deviation (RAD) and right bundle branch block (RBBB) in EKG

Question 6

What are Mangement of ASD?

Answer 6

Spontaneous closure

Interventional closure

Surgery

Question 7

Patent ductus arteriosus (PDA)

What are the pathogomic findings ?

Answer 7

Continuous murmur at the base of hearr

Bounding pulse with wide pulse pressure

Question 8

Mangment of PDA?

Answer 8

Interventional occlusion (coil)
Surgical ligation

Question 9

50 % of down syndrome kids have_______ and 50% of those have _______

Answer 9

50% of down syndrome have CHD

And 50% of those have AV canal defect

Question 10

What are the pathophysiology of obstuctive heart diseases ?

Answer 10

Decrease cardiac output

Hypertrophic cardiomyopathy and CHF

Question 11

What are the symptoms of obstructive heart disease?

Answer 11

Chest pain
Fainting
Claudication
Exertional dyapnea

Question 12

What are the Clinical findings in coarctation of aorta?

Answer 12

CHF if severe
Low PB
Weak n absent pulse in lower limb

Hypertention of uperlimb

Question 13

Pulmonary stenosis clinical findings?

Answer 13

Exertional dyspnea
Cheat pain
Right ventricular hypertrophy
Harsh basal ejection systolic murmur

Precordial bulge or heave

Question 14

What js the management of pulmonary stenosis ?

Answer 14

Balloon valvuplasty

Question 15

What are the cyanotic heart disease that are associated with increased pulmonary blood flow ?

Answer 15

TGA
Truncus Ar
TAPVR
SV

Question 16

What are the cyanotic heart diseAses that are associated with decreased pulmonary blood flow ?

Answer 16

TOF
TA
PA
Epistein anamoly

Question 17

What is tetralogy of fallot ?

Answer 17

VSD
Overriding aorta
Pulmonary stenosis
Right ventricular hypertrophy

Question 18

What are Tetraolgy of fallot clinical presentation?

Answer 18

1-Cyanosis
2-Finger toe clubbing
3-Sqautting postion
4-Hyper cyanotic spells
5-Polycythemia
6-Brain abscess and CVA
7-Boot shape CXR
8-Precordial bulge and heave
9- harsh basal eject systolic murmur

Question 19

Tetralogy of fallot mangement

Answer 19

Morphine
Propanalol
Oxygen 100%

Phlebotomy
Iron supplements
Sugrey

Question 20

Transpstion of great artreis (TGA)

Clinical profile ?

Answer 20

Cyanosis after birth
Cardio megally
Congested lung

Gardual respiratory distress

CHF

Question 21

Mangement for transpostion of great artreis ?

Answer 21

Prostaglandins infusion

Sugrey