pediatric cardio 2

Question 1

tricuspid atresia murmur and procedure

Answer 1

systolic regurgitant murmur at LLSB

Glenn shunt;
Fontan procedure

Question 2

what is truncus arteriosuus

Answer 2

pulmonary arteries arise from aorta

a VSD is ALWAYS present

Murmur: systolic ejection murmur with a thrill along the LSB (similar with TAPVR?)

Question 3

Remarks on coarctation of the aorta

Answer 3

Males > females

m/c: lesion is in the descending aorta, distal to the origin of the left subclavian artery

Question 4

Snowman sign

Answer 4

TAPVR

-All 4 pulmonary veins drain into the right atrium

Question 5

Procedure forTGA

Answer 5

Jatene procedure (atrial switch)
Rashkind Atrial septostomy
Senning and Mustard

Question 6

procedure for TA

Answer 6

Rastelli procedure

Question 7

procedure for TAPVR

Answer 7

Van Praagh procdure

Question 8

procedure for pulmonic stenosis

Answer 8

balloon valvuloplasty

valvotomy (Brock procedure)

Question 9

procedure for aortic stenosis

Answer 9

balloon valvuloplasty
Ross procedure (valve translocation)

Question 10

3 sign

Answer 10

coarctation of aorta

• inverted E
• rib notching

Question 11

murmur of ASD

Answer 11

S2 widely split and FIXED in all phases of respiration

Question 12

murmur of MVP

Answer 12

late systolic murmur with an opening click

Question 13

murmur of CoA

Answer 13

Disparity in pulsation and BP in the arms and legs

weak popliteal, posterior tibial, and dorsalis pedis pulses

Question 14

murmur of VSD

Answer 14

loud, harsh, blowing holosystolic murmur

Question 15

murmur of PDA

Answer 15

wide pulse pressure bounding peripheral arterial pulses

continuous murmur

Question 16

procedure for hypoplastic left heart syndrome

Answer 16

Norwood procedure

Glenn anastomosis

Question 17

fetal heart defect associated with alcohol

Answer 17

VSD and PS

Question 18

association with ebstein anomaly

Answer 18

Lithium

ebstein anomayl - tricuspid valve is displaced toward the apex

Question 19

minor criteria for Jones criteria

Answer 19

FRAPE
Fever
Risk factor
Arthralgia
Pronged PR
Elevated ESR/CRP/leukocytes

Question 20

most consistent feature of ARF

Answer 20

valvulitis

Question 21

rash on rheumatic fever

Answer 21

ERYTHEMA MARGINATUM
nonpruritic serpinginous or annular erythematous evanescent rashes most prominent on the trunk and inner proximal portions of the extremities
never on the face?

Question 22

murmur of mitral regurgitation

Answer 22

systolic regurgitant murmur with transmission at the left axilla
S2 may be widely split

Question 23

aortic regurg murmur

Answer 23

diastolic murmur at the upper and mid-sternal left border with radiation to the apex
bounding pulses

Question 24

duration of prophylaxis for people who have had acute rheumatic fever

Answer 24

Rhematic fever WITHOUT carditis
-5 years or until 21 y/o, whichever is longer

Rheumatic fever with carditis but WITHOUT RESIDUAL heart disease (no valvular disease)
-10 years or until 21 y/o, which ever is longer

rheumatic fever with carditis AND with residual heart disease (PERSISTENT valvular disease)

• 10 years or until 40 years of age, which ever is longer;
• sometimes lifelong prophylaxis