Heart

Question 1

Most common variant of TAPVC

Answer 1

Supracardiac (innominate/brachiocephalic)

Question 2

Most common adult CHD - asymptomatic till 30yo

Answer 2

ASD

Question 3

Most common ASD

Answer 3

Secundum (90%)

Question 4

Most common ASD in Down syndrome

Answer 4

Primum (5%)

Question 5

ASD associated TAPVC

Answer 5

Sinus venosus

Question 6

Most common CHD overall

Answer 6

VSD

Question 7

CHD Swiss-cheese septum

Answer 7

VSD

Question 8

Most common type of VSD

Answer 8

Membranous (90%)

Question 9

Components of TOF

Answer 9

Pulmonary stenosis
RVH
Overriding aorta
VSD

Question 10

Boot shaped heart on CXR

Answer 10

TOF

Question 11

Egg-shaped cardiac silhouette

Answer 11

TGA

Question 12

Acyanotic CHD with fixed widely split S2

Answer 12

ASD

Question 13

Cyanotic CHD asociated with offsprings of Diabetic mothers

Answer 13

TGA

Question 14

Acyanotic CHD assoc with congenital rubella syndrome

Answer 14

PDA

Question 15

Cyanotic CHD with continuous harsh machinery murmur

Answer 15

PDA

Question 16

AVSD associated with down syndrome

Answer 16

Complete AVSD

Question 17

Aortic Coarctation associated with Turner syndrome

Answer 17

Infantile

Question 18

Pre-ductal coarctation

Answer 18

Infantile coarctation

Question 19

Coarctation associated with rib-notching

Answer 19

Adult coarctation

Question 20

ECG change in Stable angina

Answer 20

ST segment depression >1mm

Question 21

ECG change in Prinzmetal angina

Answer 21

ST-segment elevation

Question 22

Preferred medication for Prinzmetal angina

Answer 22

Calcium channel blockers

Question 23

Drug that decreases risk of atheroscleros in patients with homocysteinuria

Answer 23

Folate

Question 24

Autosomal dominant long QT syndrome with predisposition to SCD

Answer 24

Romano-ward syndrome

Question 25

Day when the heart, postMI is most prone to rupture

Answer 25

D3

Question 26

Onset of reperfusion wafter MI where there is complete salvage of cardiac tissue

Question 27

Reperfusion onset with no appreciable reduction in MI size

Answer 27

> 6hrs

Question 28

MI complication with 70%mortality

Answer 28

Cardiogenic shock

Question 29

Life threatening arrythmia in MI

Answer 29

VFib

Question 30

Cardiac enzyme that increases the earliest.

Answer 30

Myoglobin

Question 31

Cardiac enzyme used to assess for reinfarction

Answer 31

CKMB (disappears after 72hrs)

Question 32

Preferred biomarker for MI

Answer 32

Trop I

Trop T

Question 33

ECG that correlates with areas of ischemia

Answer 33

Inverted T waves

Question 34

ECG tracing that correlates with injured myocardial cells surrounding areas of necrosis

Answer 34

Elevated ST-Segment

Question 35

ECG tracing that correlates with areas of coagulation necrosis

Answer 35

New Q Waves

Question 36

Suspected AB in rheumatic fever

Answer 36

Ab against M protthe ins of GABHS cross reacting with antigens in the heart

Question 37

Most sever manifuof rheumatic fever

Answer 37

Carditis

Question 38

Treatment of Acute Rf

Answer 38

Penicillin

ASA

Question 39

Treatment of chronic RF

Answer 39

IM Penicillin

Erythromycin if allergic

Question 40

Aschoff bodies, Anitschow cells, Aschoff giants, bread and butter pericarditis

Answer 40

RF & RHD

Question 41

Irregular thickening of the subendocardium in RHD

Answer 41

MacCallum Plaques

Question 42

Etiology of myocarditis

Answer 42

Coxackievirus
Trypanosoma cruzi
Borrelia burgdorferi

Question 43

Heart normal weight

Answer 43

300-359g (