OnlineMedEd: Pediatrics - "Peds CT Surgery"

Question 1

The ultimate problem in left-to-right shunts is _______________.

Answer 1

pulmonary arterial hypertension with right ventricular hypertrophy; eventually the right heart becomes stronger than the left and the shunt reverses

Question 2

The most common heart defect present after age one is ______________.

Answer 2

ASD

Although VSD is the most common defect, it will present and be fixed before age one.

Question 3

Describe the presentation of PDA.

Answer 3

• No murmur on day 0
• Increasing murmur on days 1, 2, and 3
• Continuous machine-like/multiphasic murmur

Question 4

___________ is given to close PDAs.

Answer 4

Indomethacin

Question 5

Transposition of the great vessels occurs more commonly in ______________.

Answer 5

moms with diabetes –not gestational

This is because the heart develops by week 8, well before GD develops.