PEDIA Cardio Flashcards

1
Q

Fetal circulation: deoxygenated blood

A

umbilical arteries

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2
Q

Fetal circulation: oxygenated blood

A

umbilical vein

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3
Q

Fetal circulation: carry the blood away from the heart towards placenta

A

umbilical arteries

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4
Q

Fetal circulation: carries blood towards the heart

A

umbilical vein

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5
Q

Fetal circulation: a temporary connection between two veins

A

Ductus venosus

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6
Q

Fetal circulation: a temporary connection between two veins

A

Ductus venosus

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7
Q

Fetal circulation: shunt the blood or allows the blood to bypass the liver

A

Ductus venosus

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8
Q

Fetal circulation: temporary opening between the right atrium
and left atrium

A

Foramen ovale

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9
Q

Fetal circulation: It allows the blood to cross to the right side and left side

A

Foramen ovale

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10
Q

Fetal circulation: allow the blood from the pulmonary artery (mixed blood) to go to the descending aorta to supply a little amount of blood to the lower parts of the body

A

Ductus Arteriosus

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11
Q

Fetal circulation: will closed approximately 12 hrs after delivery

A

Foramen ovale

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12
Q

Fetal circulation: will close within 24 hrs after delivery

A

Ductus arteriosus

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13
Q

Fetal circulation: considered pathologic/ abnormal on the 3rd day

A

Murmurs

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14
Q

Congenital Heart Disease: Exposure to – 1st month

A

Rubella/ German measles

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15
Q

CHD: shunting from left to right

A

Acyanotic heart defects

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16
Q

CHD: shunting from right to left

A

Cyanotic heart defects

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17
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: failure of the foramen ovale to close

A

Atrial Septal Defect

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18
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: systolic murmur at the upper border of the sternum with no significant sign

A

ASD

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19
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: increase O2 saturation at the right side of the heart

A

ASD

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20
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: 50% of the blood goes to the right atrium

A

ASD

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21
Q

ASD Management: surgery

A

Open heart surgery

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22
Q

ASD Management: to prevent development of subacute bacterial endocarditis

A

place client on long term antibiotic therapy

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23
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: failure of the ductus arteriosus to close

A

Patent Ductus Arteriosus

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24
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: prominent radial pulse

A

PDA

25
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: continuous machinery like murmur

A

PDA

26
Q

Acyanotic HD w/ ⬆️ Pulmonary Blood Flow: ECG reveals hypertrophy of the left ventricle

A

PDA

27
Q

PDA Management: prostaglandin inhibitor that facilitate closure of PDA

A

Indomethacin

28
Q

PDA Management: Ligation of PDA by –

A

2-4 years old

29
Q

Acyanotic HD w/ ⬇️ Pulmonary Blood Flow: narrowing arch of aorta

A

Coarctation of Aorta

30
Q

Acyanotic HD w/ ⬇️ Pulmonary Blood Flow: Absent femoral pulse

A

Coarctation of Aorta

31
Q

Acyanotic HD w/ ⬇️ Pulmonary Blood Flow: BP is higher on the upper extremities and decrease on lower extremities

A

Coarctation of Aorta

32
Q

Acyanotic HD w/ ⬇️ Pulmonary Blood Flow: Epistaxis

A

Coarctation of Aorta

33
Q

Acyanotic HD w/ ⬇️ Pulmonary Blood Flow: Lesser blood goes to the lower extremities

A

Coarctation of Aorta

34
Q

Coarctation of Aorta Management: take bp on –

A

4 extremities

35
Q

Coarctation of Aorta Management: surgery

A

Close heart surgery

36
Q

CHD common in Boys (3)

A

Transposition of the Great Artery (TOGA)
Truncus Arteriosus
Tetralogy of Fallot

37
Q

CHD Common in Girls (2)

A

Patent Ductus Arteriosus
Atrio Septal Defect (ASD)

38
Q

Cyanotic HD w/ ⬆️ Pulmonary Blood Flow: aorta arising from the RV

A

Transposition of Great Arteries

39
Q

Cyanotic HD w/ ⬆️ Pulmonary Blood Flow: Pulmonary artery is arising from the LV

A

TOGA

40
Q

Cyanotic HD w/ ⬆️ Pulmonary Blood Flow: Cyanosis after 1st cry

A

TOGA

41
Q

Cyanotic HD w/ ⬆️ Pulmonary Blood Flow: Polycythemia

A

TOGA

42
Q

Cyanotic HD w/ ⬆️ Pulmonary Blood Flow: ECG reveals cardiomegaly

A

TOGA

43
Q

TOGA S&Sx: increase production of RBC

A

Polycythemia

44
Q

TOGA S&Sx: a compensatory mechanism to dec O2 supply to the body, the blood become viscous

A

Polycythemia

45
Q

TOGA S&Sx: Polycythemia will lead to (3)

A

Thrombus
Embolus
Stroke (CVA)

46
Q

TOGA Management: Palliative Repair

A

Rash Kind Repair

47
Q

TOGA Management: Complete Repair

A

Mustard Repair

48
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: 4 Anomalies present

A

Tetralogy of Fallot

49
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: Tetralogy of Fallot (PVOR)

A

Pulmonary Stenosis
Ventricular Septal Defect
Overriding of Aorta
Right Ventricular Hypertrophy

50
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: High degree pf cyanosis (outstanding sign)

A

Tetralogy of Fallot

51
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: Polycythemia

A

Tetralogy of Fallot

52
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: Severe dyspnea

A

Tetralogy pf Fallot

53
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: Cyanotic Spell

A

Tetralogy of Fallot

54
Q

Cyanotic HD w/ ⬇️ Pulmonary Blood Flow: There is growth retardation

A

Tetralogy of Fallot

55
Q

Tetralogy of Fallot S&Sx: severe dyspnea is relieved by –

A

squatting position

56
Q

Tetralogy of Fallot S&Sx: will prevent venous return and facilitate maximum lung expansion

A

squatting position

57
Q

Tetralogy of Fallot S&Sx: Cyanotic Spell is relieved by – in infants

A

Knee chest position

58
Q

Tetralogy of Fallot S&Sx: improves blood circulation to lungs

A

Knee chest position

59
Q

Tetralogy of Fallot S&Sx: Reduce amount of O2-poor blood

A

Knee chest position