Peds Cardiac questions only Flashcards
Which of the following drugs is important in symptom management and the prevention of complications in Kawasaki’s disease?
a. Aspirin
b. Corticosteroids
c. Acetaminophen
d. Penicillin
Aspirin
While performing a well child check exam on a 3 year old you discover a heart murmur. In your evaluation, you remember the following about innocent murmurs:
a. They are best heard in diastole
b. you must radiate to the axilla
c. The intensity is no greater than a I or II/VI
d. There is no variation with changes in position.
c. The intensity is no greater than a I or II/VI
During auscultation of a 3 year old chest, you note an irregular heartbeat of 90 beats per minute that slows when the respiratory rate slows and accelerates when the child breathes faster. The rest of the exam in normal. What is an appropriate response to the finding from the choices below?
a. Record the finding in the child’s chart
b. Order a chest x-ray
c. Order an echocardiogram
d. Refer the child to a cardiologist.
a. Record the finding in the child’s chart
Which of the following is a common cause of acquired coronary artery disease during childhood?
a. Rheumaticfever
b. Hypertension
c. Systemic lupus erythematosus
d. Kawasaki disease
d. Kawasaki disease
Congenital complete heart block may be associ- ated with:
a. Maternal lupus erythematosus
b. Wolff-Parkinson-Whitesyndrome
c. Maternal myocardial infarction
d. Kawasaki disease
a. Maternal lupus erythematosus
The initial attack of acute rheumatic fever is preceded by:
a. A viral illness
b. A group A streptococcal infection
c. Exposure to mites
d. Exposure to chicken pox
b. A group A streptococcal infection
The most useful test for evaluation of suspected acute rheumatic fever is:
a. Antistreptolysin-Otiter
b. Electrocardiogram
c. Hemoglobinelectrophoresis d. Urinalysis
a. Antistreptolysin-Otiter
A vibratory systolic murmur is heard between the lower left sternal and the apex in a healthy 4-year-old at her preschool physical. The cardiovascular exam is otherwise normal. A likely diagnosis is:
a. Venous hum
b. Still’s murmur
c. Transposition of the great arteries
d. Rheumatic heart disease
Still’s murmur
Characteristics of a venous hum include: a. A systolic murmur b. Radiation over precordium c. Marked decrease or disappearance of murmur when child is supine d. Heard best at lower left sternal border
Marked decrease or disappearance of
murmur when child is supine
A 12 year old girl seen at a routine visit has BP of 140/90. She denies any symp- toms. The initial management would include:
a. Intravenous pyelogram
b. Return for two repeat BP
measurements
c. No follow-up needed—blood pressure probably related to anxiety
d. Diuretic therapy
Return for two repeat blood pressure measurements
Kawasaki disease is most common in:
a. Neonates
b. Children less than 5 years of age
c. Children over 6 years of age
d. Females
b. Children less than 5 years of age
- A principal clinical feature of Kawasaki disease includes:
a. Low grade fever for 24 hours and a pruritic rash
b. Conjunctivitis with exudate and facial rash
c. Arthritis and chorea
d. Fever persisting at least five days and acute
erythema and/or edema of hands and feet
d. Fever persisting at least five days and acute
erythema and/or edema of hands and feet
- An essential test in the evaluation of a 2-year- old being managed for Kawasaki disease is:
a. An echocardiogram
b. Electrolytes
c. Cholesterol
d. Streptococcal antibody titer
a. An echocardiogram
Chest pain in young children is usually:
a. A symptom of congenital heart disease
b. Noncardiac in origin
c. A sign of hypercholesterolemia
d. A symptom of congestive heart failure
b. Noncardiac in origin
A common cause of congestive heart failure in the first year of life is:
a. Pulmonary stenosis
b. Ventricular septal defect
c. Rheumatic fever
d. Complete heart block
b. Ventricular septal defect
