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Congenital Cardiac P
Practice Quiz Congenital Cardiac Pathology
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 |
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) |
Eisenmenger's syndrome is characterized by: | Reversal of a L-R shunt into a R-L shunt |
Children with Ebstein's anomaly have a/an: | tricuspid valve displaced into the RV |
The most common congenital defect operated upon is: | Ventricular septal defect |
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) |
A Cardioseal Starbust or an Amplatzer could be used to close a/an: | Patent foramen ovale |
How would an A-V fistula between RCA and RA be repaired? | Put a covered stent into coronary artery |
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) |
A Jatene Arterial Switch is performed to correct: | Transposition of the Great Vessels |
What is the most common "terrible T" | Tetralogy of Fallot |
Carviac situs inversus is: | Dextrocardia |
How many weeks does it take for the heart to have four distinct chambers? | 8 |
At which week of gestation does the fetal heart begin to beat? | Fourth |
True or False: The circulating blood molds the heart into shape in a process called cardiogenesis | True |
A Fontan procedure is performed to: | Increase pulmonary blood flow |
The most likely complication of balloon dilataton of coarctation of the aorta | pulmonary edema |
A Blalock-Taussig Shunt is performed to correct | Pulmonary Atresia |
Cor triatriatum | 3 atria (LA is cut in half: top and bottom - red blood never gets to mitral valve) CYANOTIC |
How is Transposition of the Great Vessels corrected | Jatene |
Fix for Bicuspid aortic valve | wait and fix it in a 40 or 50 year old when it stenosis. It can cause LV hypertrophy |
How is a VSD repaired? | with a transcatheter closure device |
What is the fix for Truncus ateriosus? | Use cadaver pulmonary artery |
What is the fix for Ebstein's anomaly? | move tricuspid valve up where it belongs and possibly a pacemaker |
Most congenital cardiac defects are due to errors in development in the: | first 6 to 8 weeks of gestation |
In most cases, coarctation of the aorta is located: | Near the ductus arteriosus (connective tissue wound around aorta) |
The aorta and pulmonary artery develop from the fetal: | truncus arteriosus |
The umbilical arteries originate from the fetal: | Internal iliac arteries |
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) |
What EKG pattern would be likely with complete A-V canal defect? | Complete heart block |
Which of the following is a congenital cardiomyopathy? | Glycogen storage disease (glycogen stored in heart muscle) |
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 |
Risk factors for congenital heart disease include all of |