Tetralogy Of Fallot

Question 1

TOF is a combination of?

Answer 1

4 congenital defects

Question 2

What 4 things is TOF comprised of?

Answer 2

P-peri membranous VSD
O- over riding aorta
P-pulmonic stenosis
R-right ventricular hypertrophy

Question 3

Which of the following is not a defect of TOF?

1. Pulmonic Stenosis
2. RVH
3. ASD
4. VSD

Answer 3

3. ASD

Question 4

What is the direction of a VSD with TOF?

Answer 4

Left to right- depending on the severity of pontic stenosis

Question 5

When do TET spells occur?

Answer 5

When the shunt reverses and becomes a right to left shunt

Question 6

What symptoms occur with the TET spell?

Answer 6

Fainting
Cyanosis
Shortness of breath

Question 7

When a VSD shunt with TOF what’s occurs(

Answer 7

TET spell

Question 8

What is the murmur associated with TOF?

Answer 8

Harsh systolic murmur LSB

Question 9

Patients with TOF usually develop some?

Answer 9

Cyanosis

Question 10

Where can each of the four congenital defects of TOF be found in what view on echo?

Answer 10

Overriding aorta, VSD and RVH can be found in PLAX

pulmonic stenosis can be found in PSAX

Question 11

With TOF one of the defects is pulmonic stenosis. What else should you check in the PSAX with pulmonic stenosis?

Answer 11

Distal, pulmonary artery size

Question 12

With Doppler use _ to locate level of ____

Answer 12

PW ; obstruction

Question 13

Measure ___ & ___ gradients at ___

Answer 13

Peak & mean; PV

Question 14

With doppler , make sure you measure ___ differences between ____

Answer 14

Pressure ; ventricles