A 4 month old male with TOF comes in to clinic. His sats are 80% and you hear a murmur. What is the cause of his murmur?
What is pulmonary stenosis.
100
Right upper sternal border. Continuous but disappears with jugular vein compression or when head is turned or upon being supine.
What is a venous hum?
100
This pharmacological agent is used to close the duct in a preterm infant.
What are indomethacin or Tylenol?
100
Valvular pulmonary stenosis. Seen most commonly in which syndrome?
What is Noonan Syndrome.
100
A one year old presents to the clinic in SVT. What is the most common method used to try and convert out of SVT in this scenario?
Hold a bag of ice on the face.
200
This is the most common type of aortic arch abnormality in a Tet.
What is a right aortic arch?
200
Left lower sternal border. Vibratory, loud when supine, quieter when upright.
What is a Still's murmur?
200
This type of flow is provided via the PDA in hypoplastic left heart syndrome.
What is systemic blood flow?
200
Cardiac Rhabdomyomas. Seen most commonly in which syndrome?
What is Tuberous Sclerosis.
200
Dextroposition means what?
What is abnormal heart location - right chest, apex to the left
300
In a patient that is said to have a "pink" or acyanotic tetralogy, this implies what about their anatomy?
What is mild or no RVOT obstruction?
300
Left lower sternal boarder. Harsh and holosystolic.
What is a VSD?
300
What blood pressure findings may you find with a large PDA?
What is a low diastolic BP or a wide pulse pressure?
300
Surpavalvular aortic stenosis. Seen most commonly in which syndrome?
What is William's Syndrome.
300
The three different types of cardiac situs
What are situs solitus, situs inversus, and situs ambiguous
400
A patient with TOF and a right aortic arch had a Blalock-Taussig shunt. What arm should you use to take the patient's blood pressure?
What is the right arm?
400
Systolic in left upper sternal border. Fixed split S2.
What is an ASD?
400
Newborns with hypoplastic left heart syndrome, pulmonary atresia, interrupted aortic arch, & critical pulmonary stenosis may all need this medication after birth.
What is prostaglandin?
400
Dissection of the Ascending Aorta. Seen most commonly in which syndrome?
What is Marfan's Syndrome.(or Loey's Dietz)
400
Unknown etiology, also called mucocutaneous lymph node syndrome. Involves dilated coronaries with ectasia and aneurysms
What is Kawasaki disease.
500
A charateristic finding in TOF/ absent pulmonary valve is the presence of these.
What is a dilated MPA and branch pulmonary arteries?
500
Left upper sternal border. Systolic and loudest in the axillae and back.
What is peripheral pulmonary stenosis?
500
Congestive heart failure, infective endocarditis, pulmonary hypertension, & aneurysm of the duct.
What are complications of a PDA?
500
Endocardial cushion defect. Seen most commonly in which syndrome?
What is Down Syndrome?
500
Which patient has higher saturations: A patient with a fenestrated or non-fenestrated Fontan?