Pediatric Surgery

Question 1

What is transposition of the greats vessels?

Answer 1

• cyanotic congenital heart defect
• VSD + aortic arch hypoplasia
  tx: PGE1 to keep ductus open to improve pulmonary blood flow

Question 2

what are the components of tetrology of fallot?

Answer 2

1. Overriding aorta
2. Right ventricular hypertrophy
3. VSD
4. RV outflow tract obstruction

Question 3

What are the 5 T’s of cyanosis in the newborn?

Answer 3

1. TOF
2. Transposition of the Great Arteries
3. Truncus Arteriosus
4. Total Anomalous Pulmonary Venous Connection

Question 4

what is truncus arteriosis?

Answer 4

single outflow track of the ventricles

Question 5

differences between omphalocele and gastroschisis

Answer 5

Omphalocele has a sac covering composed of peritoneum, bowl is typically normal, comes out of umbilicus (gastroschisis is right lateral to umby) , more likely to have associated anomalies