peds cardio Flashcards

1
Q

Acyanotic Heart Defects 3

A

Atrial septal defect (ASD)
Ventricular septal defect (VSD)
Patent ductus arteriosus (PDA)

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2
Q

do Acyanotic Heart Defects require prostagladins

A

no

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3
Q

Normal S1
Fixed split of S2
Grade 2-3/6 systolic ejection murmur at LUSB

A

ASD

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4
Q

ASD: Treatment decision to close

A

Decision to close depends on RA & RV dilation

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5
Q

Most common congenital heart defect

A

Ventricular Septal Defect

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6
Q

diaphoesis with feeding

A

VSD

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7
Q

where is the most common VSD

A

Muscular

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8
Q

Most commonly seen in premature newborns and newborns with primary pulmonary HTN

A

Patent Ductus Arteriosus (PDA)

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9
Q

95% of term newborns the ductus closes within 72 hours of birth

A

TRUTH

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10
Q

Cause of cyanosis in newborn with lower ext sats < upper ext sats

A

PDA

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11
Q

Bounding pulses, wide pule pressure

Continuous “machinery-like” murmur at LUSB/axilla

A

PDA

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12
Q

Cyanotic Heart Defects treatment

A

prostaglandins

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13
Q

Cyanotic Heart Defects

5T

A

Tetralogy of Fallot (TOF)
Transposition of the great arteries (TGA)
Truncus arteriosus

Total anomalous pulmonary venous return (TAPVR)
Tricuspid atresia

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14
Q

Most common cyanotic defect

A

TOF

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15
Q

4 conditions with TOF

A

VSD
PS/RVOT obstruction
Overriding aorta
RVH

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16
Q

Boot shaped heart on X ray

A

TOF

17
Q

TOF associated with

A

DiGeorge syndrome

18
Q

Obstructive Heart Defects 2

A
  1. Obstruction to Pulmonary Blood Flow

2. Obstruction to Systemic Blood Flow

19
Q

Can be followed conservatively for valve gradient < 40mmHg by echo

A

pulmonary stenosis

20
Q

Associated bicuspid aortic valve

Associated with Turner syndrome

A

Coarctation of the Aorta

21
Q

Associated with bicuspid aortic valve

A

aortic stenosis

22
Q

Complete mixing of systemic and pulmonary venous return blood within the atria

A

Hypoplastic Left Heart Syndrome

23
Q

Cardiac Sports Screening goal

A

Preventing sudden cardiac death

24
Q

what are the three innocent murmers

A

Still’s murmur (systolic)
Venous hum murmur (continuous)
Peripheral pulmonary stenosis (systolic)

25
Q

standing position what happens to the murmers

  1. HCM
  2. MVP
  3. AS
A
  1. HCM: Inc
  2. MVP: Inc
  3. AS: Dec
26
Q

Valsalva position what happens to the murmers

  • Innocent
  • HCM
A

↓ Innocent heart murmur

↑ HCM

27
Q

Most common innocent heart murmur

A

stills

28
Q

4 catagories that get PGE

A
  • signs and symptoms
  • 5 buzz words
  • obstructive
  • abnormal testing (pulse ox)