Pedia LQ cardio

Question 1

Primary management of the hypoxic spells in Tetralogy of Fallot involves thefollowing EXCEPT:

a. O2 inhalation
b. Morphine sulfate
c. Phenylephrine
d. Sodium bicarbonate

Answer 1

c. Phenylephrine

Question 2

You noted on inspection, left precordial bulge and on auscultation, a grade 3/6systolic murmur, upper left 2nd ICS and widely split S2. 2D echo revealed a shuntmeauring 4mm at the fossa ovalis area and enlarged right atrium and ventricle.Other PE findings are unremarkable. The following are TRUE of this kind ofdisease EXCEPT:

a. Normal sized left atrium
b. Large defects may lead to pulmonary congestion
c. Surgery is the definite management
d. Spontaneous closure occurs in 87% of cases

Answer 2

c. Surgery is the definite management

Question 3

The following are manifestations of Infective Endocarditis EXCEPT:

a. Osler’s nodes
b. Roth spots
c. Subcutaneous nodules
d. Janeway lesions

Answer 3

c. Subcutaneous nodules

Question 4

The following right-to-left shunt lesions increase pulmonary blood flow EXCEPT:

a. Truncus arteriosus
b. Tetralogy of Fallot
c. Transposition of Great Arteries
d. Total Anomalous Pulmonary Venous Return

Answer 4

b. Tetralogy of Fallot

Question 5

The following are TRUE of Aortic Valvular stenosis EXCEPT:

a. Presence of S3
b. Diminished pulses
c. Obstructions leads to LEFT ventricular pressure
d. Reduced compliance of left ventricle leads to systolic dysfunction

Answer 5

a. Presence of S3

Question 6

Bilaterally weak or delayed femoral pulses in infants is associated with this syndrome.
a. Down’s syndrome
b. Noonan syndrome
c. Turner’s syndrome
d. Congenital Rubella syndrome

Answer 6

c. Turner’s syndrome

Question 7

The following are characteristics of venous hum EXCEPT:

a. Continuous murmur
b. Heard in infraclavicular region
c. Grades I-III
d. Louder with patient in supine position changes with compression of jugular vein

Answer 7

d. Louder with patient in supine position changes with compression of jugular vein

Question 8

A 9-year old known to have RF with Carditis since he was 7 years old, failed tocomply with his prescribed secondary prophylaxis. he was brought to the ERtoday because of high fever for almost 10 days now. He was toxic looking, withpallor, irritable and had poor appetite. On PE, patient was tachycardic, noted asystolic murmur at the apex. CBC showed anemia, leukocytosis andthrombocytopenia. The most likely complication is:

a. Infective endocarditis
b. Pulmonary hypertension
c. Congestive heart failure
d. Community acquired pneumonia

Answer 8

a. Infective endocarditis

Question 9

One of the following criteria suggest Definite Endocarditis.

a. Positive blood cultures, intracardiac mass on valve by 2D ECHO
b. Abscess on 2D ECHO, arthritis, fever
c. Fever, a single blood culture, arthritis
d. Fever, glomerulonephritis, a single positive culture, arthritis

Answer 9

a. Positive blood cultures, intracardiac mass on valve by 2D ECHO

Question 10

Clinical findings of normal right heart pressures and pulmonary vascular resistance are associated with this type of CHD.

A. Small , restrictive ASD
B. Small , restrictive VSD
C. Large , restrictive ASD
D. Large, restrictive VSD

Answer 10

B. Small , restrictive VSD