MCQs

Question 1

List Congenital Heart Diseases that present with cyanosis

Answer 1

1. Transposition of the great arteries
2. Triscupid Atresia
3. Total Anomalous Pulmonary Venous Drainage
4. Truncas Arteriosus (always has a VSD)
5. Hypoplastic Left Heart Syndrome
6. Complete AVSD

Question 2

Features of AVSD on auscultation

Answer 2

Ejection Systolic Murmur on Left sternal UPPER edge (pulmonary flow murmur)

Pansystolic murmur @ apex (mitral regurg)

Fixed Splitting S2 (ASD)

Loud S2 (due to pulmonary HTN)

Question 3

Features of VSD on auscultation

Answer 3

Systolic murmur on Left LOWER sternal edge.

Question 4

Features of ASD on auscultation

Answer 4

Soft systolic murmur on Left UPPER sternal edge

Fixed Splitting S2

Pansystolic murmur (mitral regurg)

Question 5

Features of PDA on auscultation. What about the pulse?

Answer 5

Continous Machinery murmur - below L clavicle.

or/Also Early systolic murmur in Left UPPER sternal Edge

Will feel bounding pulses

Question 6

Features of Shaken baby syndrome

Answer 6

Retinal Haemorrhage

Skull Fracture

Subdural, subarachnoid Haemorrhage - Tense fontanelle

Shearing off or breakage of nerve cells