Cardiology

Question 1

Signs of Right Sided Failure

Answer 1

Hepatosplenomegaly

Question 2

Signs of Left Sided Failure

Answer 2

Pulmonary edema

Rales

Question 3

short systolic ejection murmur

Answer 3

Still’s murmur

Question 4

Increases with fever and exercise

Answer 4

Still’s murmur

Question 5

Never greater than 2/6

Answer 5

Still’s murmur

Question 6

Most common congenital heart lesion

Answer 6

VSD

Question 7

Harsh holosystolic murmur over left sternal border

Answer 7

VSD

Question 8

Widely Split S2

Answer 8

VSD

Question 9

Treatment of VSD

Answer 9

Small muscular: close independently

6-12mos w/ large defects: surgery

Question 10

low-pitched diastolic rumble heard best at the APEX

Answer 10

VSD

Question 11

low-pitched diastolic rumble heard best at the LOWER STERNUM

Answer 11

ASD

Question 12

CXR: large heart w/ pulmonary edema
ECG: LVH

Answer 12

VSD

Question 13

most common type of ASD

Answer 13

ostium secundum

Question 14

Wide fixed split S2

Answer 14

ASD

Endocardial cushion defect

Question 15

Systolic ejection murmur along left mid to upper sternal border

Answer 15

ASD

Question 16

ECG: Right axis deviation and RVH

Answer 16

ASD

Question 17

precordial bulge and lift

Answer 17

Endocardial cushion defect

Question 18

Pilmonary systolic ejection murmur, low pitched diastolic rumble at left STERNAL BORDER and APEX

Answer 18

Endocardial cushion defect

Question 19

Sooner presentation than ASD

Answer 19

Endocardial cushion defect

Question 20

Common in premature infants

Answer 20

PDA

Question 21

associated with rubella

Answer 21

PDA

Question 22

deafness
cataracts
cardiac

Answer 22

PDA

Question 23

machine like murmur

Answer 23

PDA

Question 24

increased pulmonary artery on CXR

Answer 24

PDA

Question 25

ECG LVH

Answer 25

PDA

Question 26

Treatment of PDA

Answer 26

Indomethacin

Question 27

RVH without pulmonary edema

Answer 27

Pulmonic stenosis

Question 28

Pulmonary ejection click after S1

Answer 28

Pulmonic stenosis

Question 29

Short low to medium pitched SEM

Answer 29

Pulmonic stenosis

Question 30

ECG: RVH

Answer 30

Pulmonic stenosis

Question 31

Tall, spiked P waves

Answer 31

Pulmonic stenosis

Question 32

CXR: Post-stenotic dilatation of pulmonary artery and decreased pulmonary vascularity

Answer 32

Pulmonic stenosis

Question 33

Treatment of Pulmonic stenosis

Answer 33

Moderate to severe: balloon valvuloplasty | Critical: emergent surgery

Question 34

increased pulse pressure

Answer 34

PDA

Question 35

Noonan Syndrome

Answer 35

Pulmonic stenosis from pulmonic dysplasia | Autosomal dominant

Question 36

common in Alagille syndrome

Answer 36

pulmonic stenosis

Question 37

mental retardation elfin facies Hypercalcemia Supravalvular Aortic stenosis

Answer 37

Williams Syndrome

Question 38

decreased pulses cardiomegaly LV apical thrust

Answer 38

Aortic stenosis

Question 39

Early systolic ejection click at apex of left sternal border

Answer 39

Aortic stenosis

Question 40

CXR prominent ascending aorta

Answer 40

Aortic stenosis

Question 41

turner syndrome

Answer 41

Bicuspid aortic valve | Coarctation

Question 42

decreased blood pressure and pulses below constriction

Answer 42

Coarctation

Question 43

delayed femoral pulse

Answer 43

Coarctation (normally femoral pulse occurs before radial)

Question 44

pressure greater in right arm than left

Answer 44

Coarctation of left subclavian

Question 45

Short systolic murmur along left sternal border at 3rd/4th intercostal space

Answer 45

Coarctation

Question 46

rib notching

Answer 46

Coarctation

Question 47

Notching of inferior border of ribs

Answer 47

Preductal Coarctation

Question 48

lower body hypotension acidosis Heart failure

Answer 48

Preductal Coarctation

Question 49

Common Cyanotic Heart Disease

Answer 49

``` Tetralogy of Fallot Transposition of Great Vessels Tricuspid Atresia Truncus Arteriosis Total Anomalous pulmonary venous return ```

Question 50

Most common cyanototic lesion

Answer 50

Tetralogy of Fallot

Question 51

hypertrophy of infundibulum

Answer 51

Tetralogy of Fallot

Question 52

squat to increase systemic vascular resystance

Answer 52

Tetralogy of Fallot

Question 53

Paroxysmal hypercyanotic attacks

Answer 53

Tet spells-Tetralogy of Fallot

Question 54

boot shaped heart with dark lung fields

Answer 54

Tetralogy of Fallot

Question 55

must have atrial communication

Answer 55

tricuspid atresia

Question 56

severe truncal cyanosis at birth

Answer 56

tricuspid atresia

Question 57

increased left ventricular impulse

Answer 57

tricuspid atresia

Question 58

left axis deviation with LVH

Answer 58

tricuspid atresia

Question 59

Small/absent R wave

Answer 59

tricuspid atresia

Question 60

hypoplastic pulmonary circiulation

Answer 60

tricuspid atresia

Question 61

associated with maternal lithium

Answer 61

ebstein anamoly