Pedia: Cardio Flashcards
Among the 3 congenital acyanotic dz which would have a pound and single S2
ASD
VSD
PDA
VSD due to pulmo HTN
Among the 3 congenital acyanotic dz which would have bounding pulses and widened pulse pressure?
ASD
VSD
PDA
PDA
Also with cont m2 in the infraclavicular area
Most common type of VSD?
Membranous
Which type of VSD necessitates closure due to increased risk of AR?
Supra cristal
Most common cause of CHD in newborns?
TGA
TGA palliative procedures
Rashkind
Blalock hanlon
TGA definitive treatment
Atrial senning
Ventricular Rastelli
Great artery Jatene
Treatment for TOF
Blalock taussug shunt more than 3 months
Gore tex shunt less than 3
Which among the congenital cyanosis heart diseases presents with a single loud S2? TGA TOF TA T Atresia T arteriosus TAPVR
TGA TOF because no or low pulmonary circulation to delay closure of PV
Truncus art because there’s only one truncal valve
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
Egg TGA
Snowman TAPVR
Which among the congenital cyanosis heart diseases has a hypoplasic RV? TGA TOF TA T Atresia T arteriosus TAPVR
Tricuspid atresia
Which one has RVH? Noonan and William syndrome or Turner’s?
Noonan due to PS so RVH; turner has COTA
Which one has webbed neck? Noonan and William syndrome or Turner’s?
Both
Which one is treated with Brock’s procedure? Noonan and William syndrome or Turner’s?
Brock proc is a valvotomy ergo Noonan for the PS
What are the minor criteria for RF?
Inflammatory cells Increased ESR OR CRP Raised PR interval Prev hx Arthralgia
When does ASO titer become elevated?
2 weeks after strep infection
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
All are included under carditis
Others: arthritis, erythema marginatum, subcu nodules, syndenham’s chorea
Most common valvular involvement in children with RHD?
MR
Differentiate the location of AS and AR
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
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
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
Among the 3 congenital acyanotic dz which would have right sided enlargement?
ASD
VSD
PDA
ASD