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Critical Care Test 1 > Congential Heart Disease > Flashcards

Congential Heart Disease Flashcards

1
Q

Opening In the atrial septum permitting free communication of blood between the atria

A

ASD Atrial septal defect

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2
Q

Rarely signs of CHF no cyanosis most asymptotic hyperactive precordium fixed widely split s2

A

ASD

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3
Q

Treatment for ASD

A

Surgical closure elect lively between ages 2 and 5

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4
Q

Abnormal opening in the ventricular septum allows free communication between right and left ventricles

A

VSD

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5
Q

Harsh systolic murmur along LSB small close by age two … Large one see CHF symptoms between 1-6 months

A

VSD

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6
Q

Treatment for VSD

A

Small none
Symptomatic: ACE and diuretics
Large may need surgery

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7
Q

Incomplete fusion the endocardium cushions which help to for, the lower portion of the atrial septum the membranes portion of the ventricular septum and the septal leaflets teiscupid and mitral valves

A

AVSD

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8
Q

Congestive heart failure in infants recurrent pulmonary infections failure to thrive wide fixed splitting of s2 cardiac enlarge,met on X-ray pull are systolic ejection murmur

A

AVSD

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9
Q

Treatment for AVSD

A

Surgery always pulmonary banding

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10
Q

Persistence of the normal fetal vessel that joins the pa of the aorta

A

PDA

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11
Q

Bounding artieral pulses
Winded pulse pressure
Enlarged heart
Classic continuous machine like murmur

A

PDA

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12
Q

Treatment for PDA

A

Usually closes first week if not ligation and division or infra vascular coil

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13
Q

Pulmonary stenosis
TOF
PA

A

Decreased pulmonary blood flow

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14
Q

Obstruction in the region of either the pulmonary valve or the sub pulmonary ventricular outflow tract

A

Pulmonary stenosis

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15
Q

Cyanosis jugular a wave even lift
Ejection click followed by systolic murmur
Split 2nd heart sound

A

Pulmonary stenosis

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16
Q

Treatment of pulmonary stenosis

A

Ballon valvuloplasty

Valvotomy

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17
Q

TOF is made up of what 4 defects

A

Pulmonary stenosis
Right ventricular hypertrophic
Ventricular septal defect
Overriding aorta

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18
Q

Sign on X-ray of TOF

A

Boot snapped heart

19
Q

Cyanosis
Episodic loss of consciousness
Squatting when fatigued
Ventricular hypertrophic

A

TOF

20
Q

TOF treatment

A

Palliative shunts
Blalock taus sing
Corrective repair

21
Q

Absence of communication between the right ventricle and the pulmonary artery

A

Pulmonary atresia

22
Q 
Cyanosis at birth 
Tachypnea pulmonary edema 
CHF 
Hepatomegly 
Acidosis
Delayed growth
A

PA

23
Q

Treatment for PA

A 
Prostaglandin 
Digoxin 
Diuretics 
BAS
Rasttelli
24
Q

ASD
VSD
ASVD
PDA

A

Increased pulmonary blood flow

25
Q 
Aortic stenosis 
Coarctation of the aorta 
HLHS
mitral stenosis
Interrupted aortic arch
A

Obstructed systemic blood flow

26
Q

Obstruction of the outflow from the left ventricle at or near the aortic valve that causes a systolic pressure gradient of more than 10mmhg

A

Aortic stenosis

27
Q 
Chest pain 
Weak pulses 
Left sided heart failure 
Sudden death 
LV Thrust at apex 
Ejection click systolic murmur radiates to carotid
A

Aortic stenosis

28
Q

Treatment for aortic stenosis

A

Surgery not a cure
Ballon valvuloplasty
May require valve replace,net

29
Q

Narrowing of the aorta of varying points anywhere from the transverse arch to the iliac bifurcation

A

Coarctation of the aorta

30
Q

Diminished or absent femoral pulse
Higher BP in upper extremities
Lower extremity hypo perfusion
Cardiomegaly rib notching on x ray

A

Coaraction of the aorta

31
Q

Treatment of coartaction of the aorta

A

Prostaglandin essential
Angioplasty
Ballon angioplasty

32
Q

Mitral and aortic valves are absent or stenosed along with an abnormal small left ventricle and aorta

A

Hypo plastic left heart syndrome

33
Q 
Tachypnea 
Dyspnea 
Decreased peripheral pulses 
No murmur 
Cardiomegaly
A

HLHS

34
Q

Treatment of HLHS

A

3 stage surgery
Norwood, glen , font on
Heart transplant
Palliative care

35
Q

TGA
TAPVR
TRUNCUS ARTERIOUS
double outlet right ventricle

A

Mixed defects

36
Q

Pulmonary artery is the outflow tract for the left ventricle and the aorta is the outflow tract for the right ventricle

A

TGA

37
Q 
Cyanosis 
No murmur
Growth failure 
Egg snapped heart on string 
Right ventricular hypertrophic 
Fails the hyperoexsist
A

TGA

38
Q

Treatment of TGA

A

Prostins
BAS
artieral switch done by 1-3 weeks of age

39
Q

Pulmonary veins empty somewhere other than the left atrium

A

TAPVR

40
Q 
Severe pulmonary edema 
Pulmonary hypertension
Limited cardiac output
Arrhythmia 
S2 has a wide fixed split with a possible gallop
A

TAPVR

41
Q

Treatment of TAPVR

A

Prostins
Digoxin
Diuretics
Surgery to connect pulmonary veins to the left atrium

42
Q

A single large vessel empties both ventricles and provides circulation for the pulmonary systemic and coronary circulation

A

TRUNCUS ARTERIOUS

43
Q

Harsh systolic murmur lower eternal border along with a systolic click in the apex
Ventricular enlargement

A

TRUNCUS

44
Q

Treatment for TRUNCUS

A

Rasttelli procedure

Digoxin diuretic

Critical Care Test 1 (3 decks)

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