Dow Pediactric

Question 1

wide and fixed split S2

Answer 1

abnormal

Question 2

innocent murmurs

Answer 2

low pitched
-non-turbulent, not high velocity

stills - low pitched musical at LLSB

Question 3

suspicious murmurs

Answer 3

high pitched
harsh
S1 holosystolic

Question 4

genetic disorders with cardiac defects

Answer 4

down - endo cushion, VSD
turner - coarc, AS, ASD
noonan - PS, ASD, AVSD, coarc, HCM
fetal alcohol syndrome - VSD, PDA, ASD, TOF

Question 5

severe cyanosis in first hours after birth**

Answer 5

transposition of great vessels

Question 6

likely etiology of myocarditis

Answer 6

viral

coxsackie, echovirus, poliomyelitis, mumps, rubella

Question 7

myocarditis Dx

Answer 7

ST changes on EKG

labwork - PCR - to find viral genome

IVIG - treatment

Question 8

high fever for five days, conjunctival injection, strawberry tongue, cervical lymphadenopathy, swelling of hands and feet

Answer 8

kawasaki

if untreated - coronary artery aneurysms

Question 9

sports PE screening

Answer 9

family Hx of sudden death
murmurs
marfans stigmata
PE consistent with cardiac disease