Drose Fetal Echo Flashcards

1
Q
A
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2
Q

Av canal, tetrology of fallot, DORV,

A

All have strong association with aneuploidy

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3
Q

What is the most commonly recognized heart defect

A

Ventricular septal defect

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4
Q

Coarctation, aortic stenosis, HLHS

A

Associated with Turners

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5
Q

Noonan syndrome

A

The syndrome most commonly associated with a dysplastic pulmonic valve

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6
Q

Rhabdomyoma

A

The most common cardiac tumor in a fetus

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7
Q

Tubular sclerosis

A

Commonly associated with rhabdomyoma

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8
Q

Polysplenia

A

Associated with AV Canal and heart block

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9
Q

Coarctation of Aorta

A

The most common associated cardiac anomaly with hypoplastic left heart syndrome

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10
Q

Pulmonary atresia with intact interventricular septum

A

Is what hypoplasia of the right ventricle is most commonly resulted from

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11
Q

Between the left subclavian artery and the ductus arteriosus

A

The most common area of narrowing with a coarctation

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12
Q

Subaortic

A

The most common location of the VSD in Tetrology of Fallot

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13
Q

Left ventricle

A

And truncus arteriosus a single truncal valve is least likely to arise from this

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14
Q

Pulmonary stenosis

A

The most common associated cardiac defect with double outlet right ventricle

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15
Q

Ostium secundum

A

The most common type of atrial septal defect

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16
Q

Dextrocardia

A

Heart is right side of chest with apex pointing right

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17
Q

Dextroposition

A

Heart is right side of chest with apex pointing left

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18
Q

Place in atrium proximal, to valve

A

Eval for insufficiency

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19
Q

Place in ventricle, distal to valve

A

Eval for stenosis

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20
Q

8:1000

A

Risk of Chd in live births

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21
Q

13-35%

A

% of CHD associated w chromosome abnormality

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22
Q

Transposition, Truncus, TOF

A

CHD’s assoc with maternal diabetes

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23
Q

40-57% detection

A

4chamber view alone only rules out what % of CHD

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24
Q

<120cm/s

A

Normal velocity at Aortic arch

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25
Q

Distal to valve in ascending aorta

A

Proper placement to evaluate aortic stenosis is

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26
Q

Ductus arteriosis, pulm artery, descending aorta

A

Ductal arch consists of…

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27
Q

>1.4 M/S

A

Ductal constriction velocity noted …

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28
Q

IUGR

A

Decreased velocity of ductus noted with…

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29
Q

Persistent left ivc

A

An extra vessel seen in 3vv indicates what

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30
Q

Cor Tri Atrium

A

Additional chamber arising from left atrium

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31
Q

Situs inversus and dextrocardia

A

Mirror Image right A and V are on left. Physiologically normal.

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32
Q

Ivemark syndrome

A

Asplenia also referred to as what

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33
Q

Polysplenia

A

Also known as left atrial isomerism

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34
Q

Asplenia

A

Right sidedness, tri lobed lung, and midline liver are characteristics of….

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35
Q

Asplenia

A

More severe CHD seen with poly or asplenia

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36
Q

21-22 days

A

Heart contractions begin how long after conception

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37
Q

Sinus Node

A

Pacemaker of the heart

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38
Q

Tachycardia

A

Sustained rate >180 bpm

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39
Q

SVT

A

Most common tachy

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40
Q

1:1

A

Ratio of conduction with SVT

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41
Q

Sinus Tachy or Brady

A

Arrhythmia from maternal or fetal distress, shows variables

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42
Q

2:1 or 3:1

A

Atrial flutter conduction ratio

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43
Q

<100bpm sustained

A

Bradycardia rate

44
Q

Bigeminy

A

Every other beat is premature and blocked by AV node

45
Q

Complete AV block

A

Complete disassociation between atrial and vent beats.

46
Q

Defects of AV junction- like corrected TGV, left isomerism, connective tissue disorders (lupus)

A

Heart block associations

47
Q

Endocardium cushions not fusing properly

A

Cause of AVSD

48
Q

Type A

A

Type of Complete AVSD associated with T21 and other CHD’s

49
Q

Intermediate

A

Least common AVSD

50
Q

2.9%

A

AVSD is what % of all heart defects

51
Q

40%

A

% of AVSD in those with T21

52
Q

Twice the FHR, RT to LT

A

Flow at the foraminal flap is

53
Q

Pulm artery at level of DA, aortic arch and SVC in the same plane

A

What constitutes the 3 vessel view

54
Q

Dilated azygous vein

A

In a 4 view, a “double vessel” sign indicates this… Which acts as a collateral to the IVC

55
Q

Polysplenia

A

Dilated azygous vein, interrupted IVC may indicate..

56
Q

More tortuous vessel

A

Velocity of the ductal arch increases with GA because..

57
Q

Perisistent left SVC

A

Failure of degeneration of the left Cardinal vein results in…

58
Q

Tubular structure between left vent and atrium

A

Coronary sinus

59
Q

<1%

A

Situs solitus with levocardia associated with what percent CHD

60
Q

95%

A

Situs solitus with dextrocardia associated with having what percentage of a CHD

61
Q

Valvular stenosis

A

Most common type of Aortic stenosis

62
Q

Tetrology of Fallot

A

Most common tissue migration abnormality

63
Q

Matrix abnormality, endocardial cushion defect

A

AVSD is an example of ..

64
Q

Muscular VSD and Ebstein anomaly

A

Examples of cellular death abnormality

65
Q

Increases w gest age

A

Normal EA ratio of mitral valve

66
Q

Agenesis of ductus venosus

A

A dilated IVC may indicate this

67
Q

Truncal

A

Levocardia is associated with what type of defects

68
Q

Truncal defects

A

A right sided aortic arch is common with …

69
Q

Asplenia

A

AV canal and double outlet right ventricle most likely indicates…

70
Q

Cardiac teratoma

A

Single, encapsulated tumors of heart attached by a stalk

71
Q

Cardiac fibroma

A

Single, non encapsulated , usually involve left ventricular wall and septum.

72
Q

Arrhythmia, stenosis, and non immune hydrops

A

A fetus with cardiac mass may develop…

73
Q

Aorta

A

In 3VV, which structure is most superior

74
Q

>50%

A

Cardiomegaly is with a CC:TC ratio

75
Q

Chiari network

A

Echoes within the right atrium can represent…

76
Q

Type A

A

Which type of complete AVSD is an isolated defect and associated with T21

77
Q

Dilated right atrium and pulmonary artery, dextroposition

A

Complete types of AVSD usually present with what

78
Q

Intermediate

A

Least common type of AVSD

79
Q

2.9% of all heart defects

A

Occurrence of AVSD

80
Q

Inlet

A

What type of vsd occurs as part of an AVSD?

81
Q

Peri membranous

A

75% of VSD’s are what type?

82
Q

Right bundle branch blockage

A

Most common complication after a muscular VSD closure

83
Q

Left to right in systole and right to left in diastole

A

Bidirectional shunting of VSD is characterized by…

84
Q

70%

A

What percentage of CHD is isolated?

85
Q

AVSD, VSD, TOF

A

Which defects are most likely to be associated with abnormal chromosomes?

86
Q

10-12%

A

What is the risk of CHD to fetus of affected mother?

87
Q

Heterotaxy, d-TGA

A

What defects are least likely to be associated with abnormal chromosomes?

88
Q

22q11 deletion

A

DiGeorge syndrome also known as

89
Q

2-4%

A

Risk to fetus with one affected sibling

90
Q

TOF, PS, coarctation

A

What CHD’s will most likely have associated non-cardiac anomalies?

91
Q

10%

A

Risk to fetus with 2 or more affected siblings is?

92
Q

Conotruncal and VSD

A

Type of CHD’s associated with DiGeorge

93
Q

Aortic and pulmonary stenosis, VSD

A

What are the most common defects seen with William syndrome?

94
Q

7q11.23 deletion

A

William syndrome also referred to as what?

95
Q

Coarctation, ASD, Aortic stenosis

A

what CHD’s are commonly seen with Turners (45X)?

96
Q

Premature closure of Ductus Arteriosis

A

Indomethacin use may cause what?

97
Q

Left sided defects

A

Increased NT associated with what?

98
Q

HLHS, TOF, TGA

A

What defects can be associated with anti seizure meds (phenytoin, valproic acid, trimethadoine)?

99
Q

Ebstein anomaly

A

The use of lithium has been associated with what CHD?

100
Q

AVSD and CHF

A

Abnormal heart rate and rhythm associated with what defects?

101
Q

95%

A

Isolated dextrocardia is associated with CHD in what % of cases

102
Q

Ebstein, coarctation, severe tricuspid regurgitation… Enlarged right atrium

A

Severe levocardia is associated with what type of defects

103
Q

25%

A

Dextrocardia with heterotaxy associated with CHD in what % of cases

104
Q

Thoracic

A

Most common type of ectopia cordis

105
Q

Thoracoabdominal

A

Pentology of Cantrell is considered what type of ectopia cordis