Pedia: Cardio

Question 1

Among the 3 congenital acyanotic dz which would have a pound and single S2
ASD
VSD
PDA

Answer 1

VSD due to pulmo HTN

Question 2

Among the 3 congenital acyanotic dz which would have bounding pulses and widened pulse pressure?
ASD
VSD
PDA

Answer 2

PDA

Also with cont m2 in the infraclavicular area

Question 3

Most common type of VSD?

Answer 3

Membranous

Question 4

Which type of VSD necessitates closure due to increased risk of AR?

Answer 4

Supra cristal

Question 5

Most common cause of CHD in newborns?

Answer 5

TGA

Question 6

TGA palliative procedures

Answer 6

Rashkind

Blalock hanlon

Question 7

TGA definitive treatment

Answer 7

Atrial senning
Ventricular Rastelli
Great artery Jatene

Question 8

Treatment for TOF

Answer 8

Blalock taussug shunt more than 3 months

Gore tex shunt less than 3

Question 9

Which among the congenital cyanosis heart diseases presents with a single loud S2?
TGA
TOF
TA
T Atresia
T arteriosus
TAPVR

Answer 9

TGA TOF because no or low pulmonary circulation to delay closure of PV
Truncus art because there’s only one truncal valve

Question 10

Which among the congenital cyanotic heart diseases present with a snowman on CXR? How about an egg?
TGA
TOF
TA
T Atresia
T arteriosus
TAPVR

Answer 10

Egg TGA

Snowman TAPVR

Question 11

Which among the congenital cyanosis heart diseases has a hypoplasic RV?
TGA
TOF
TA
T Atresia
T arteriosus
TAPVR

Answer 11

Tricuspid atresia

Question 12

Which one has RVH? Noonan and William syndrome or Turner’s?

Answer 12

Noonan due to PS so RVH; turner has COTA

Question 13

Which one has webbed neck? Noonan and William syndrome or Turner’s?

Answer 13

Both

Question 14

Which one is treated with Brock’s procedure? Noonan and William syndrome or Turner’s?

Answer 14

Brock proc is a valvotomy ergo Noonan for the PS

Question 15

What are the minor criteria for RF?

Answer 15

Inflammatory cells
Increased ESR OR CRP
Raised PR interval
Prev hx
Arthralgia

Question 16

When does ASO titer become elevated?

Answer 16

2 weeks after strep infection

Question 17

Which of the ff is NOT a major criteria for Jones RF?
Tachy out of proportion with fever
MR/ AR
Friction rub with effusion
Cardiomegaly
CHF

Answer 17

All are included under carditis

Others: arthritis, erythema marginatum, subcu nodules, syndenham’s chorea

Question 18

Most common valvular involvement in children with RHD?

Answer 18

MR

Question 19

Differentiate the location of AS and AR

Answer 19

AS is in the right 2nd ICS PSB

AR on the other hand is heard where the actual surface anatomy of the aortic valve is. On the left side 3rd ICS PSB

Question 20

Which us the most likely cause for IE? 
1 After dental proc
2 With NO underlying dz
3 After lower GI proc
4 prosthetic valves

Answer 20

1 After dental proc VIRIDANS STREP
2 With NO underlying dz STAPH AUREUS
3 After lower GI proc GROUP D STREP
4 prosthetic valves STAPH EPIDERMIDIS

Question 21

Among the 3 congenital acyanotic dz which would have right sided enlargement?
ASD
VSD
PDA

Answer 21

ASD