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Practice Quiz Congenital Cardiac Pathology

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Question
Answer
Which of the following is a congenital heart defect involving reversal of the aorta and pulmonary artery? : coarctation of the Aorta; Patent ductus arteriosus; Transposition of the great vessels; Ebstein's anomaly; Tetralogy of Fallot   Transposition of the great vessels  
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Which of the following is characterisitic of Tetralogy of Fallot? Greater pressure in the LV; a fall in pressure from the LV to AO; An elevated gradient in mean RA and LA pressures; A fall in pressure from RV to PA   A fall in pressure from RV to PA (due to pulmonic stenosis)  
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Eisenmenger's syndrome is characterized by:   Reversal of a L-R shunt into a R-L shunt  
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Children with Ebstein's anomaly have a/an:   tricuspid valve displaced into the RV  
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The most common congenital defect operated upon is:   Ventricular septal defect  
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Which of the following defects is cyanotic? Coarctation of the aorta; Total anomalous pulmonary venous return; Truncus arteriosus; Tricuspid atresia; Cor triatriatum   Coarctation of the aorta (Terrible T)  
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A Cardioseal Starbust or an Amplatzer could be used to close a/an:   Patent foramen ovale  
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How would an A-V fistula between RCA and RA be repaired?   Put a covered stent into coronary artery  
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In a Glenn shunt operation, the superior vena cava is connected to the:   Right pulmonary artery (SVC is tied into RPA and bypasses the heart)  
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A Jatene Arterial Switch is performed to correct:   Transposition of the Great Vessels  
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What is the most common "terrible T"   Tetralogy of Fallot  
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Carviac situs inversus is:   Dextrocardia  
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How many weeks does it take for the heart to have four distinct chambers?   8  
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At which week of gestation does the fetal heart begin to beat?   Fourth  
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True or False: The circulating blood molds the heart into shape in a process called cardiogenesis   True  
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A Fontan procedure is performed to:   Increase pulmonary blood flow  
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The most likely complication of balloon dilataton of coarctation of the aorta   pulmonary edema  
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A Blalock-Taussig Shunt is performed to correct   Pulmonary Atresia  
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Cor triatriatum   3 atria (LA is cut in half: top and bottom - red blood never gets to mitral valve) CYANOTIC  
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How is Transposition of the Great Vessels corrected   Jatene  
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Fix for Bicuspid aortic valve   wait and fix it in a 40 or 50 year old when it stenosis. It can cause LV hypertrophy  
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How is a VSD repaired?   with a transcatheter closure device  
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What is the fix for Truncus ateriosus?   Use cadaver pulmonary artery  
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What is the fix for Ebstein's anomaly?   move tricuspid valve up where it belongs and possibly a pacemaker  
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Most congenital cardiac defects are due to errors in development in the:   first 6 to 8 weeks of gestation  
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In most cases, coarctation of the aorta is located:   Near the ductus arteriosus (connective tissue wound around aorta)  
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The aorta and pulmonary artery develop from the fetal:   truncus arteriosus  
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The umbilical arteries originate from the fetal:   Internal iliac arteries  
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A five yr old has cyanosis and clubbing of the toes but not of the fingers. A machinery murmus is heard at the pulmonic area. Systemic BP is low while pulmonary pressures are high. What do you suspect?   Patent ductus arteriosus (Clubbing is not in fingers because head and arms are getting blood from aorta)  
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What EKG pattern would be likely with complete A-V canal defect?   Complete heart block  
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Which of the following is a congenital cardiomyopathy?   Glycogen storage disease (glycogen stored in heart muscle)  
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The incidence of congenital cardiac defects in the U.S population is ____________ newborns   6-8 per 1,000 or 1 in 100; 10 in 1000  
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Risk factors for congenital heart disease include all of    
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