CHD

Question 1

fetal blood goes from mom to what in baby?

Answer 1

IVC

Question 2

What happens in PDA?

Answer 2

from aorta to pulm artery and back to lungs = HF & Pulmonary HTN

Question 3

What can cause PDA?

Answer 3

Prematurity, Rubella

Question 4

Presentation of PDA?

Answer 4

small baby, labored breath, Continuous Machine murmur, recurrant pulm infections.

Question 5

what has a “slapping s2 and bounding pulse”?

Answer 5

PDA

Question 6

How do you diag PDA?

Answer 6

Echo

Question 7

How do you treat PDA?

Answer 7

Indomethocine (inhibit prostoglanding), furosimide, dobutamine, dopamine –> surgery

Question 8

what is TOF?

Answer 8

PROV. pulm stenosis, RVH, Overaaorta, VSD

Question 9

Maneuver for TOF?

Answer 9

Chest to knees

Question 10

path of TOF?

Answer 10

blood goes thru aorta to pulm artery via ductus arteriosis. once PDA closes, no more blood to lungs = cyanosis.

Question 11

TOF presentation?

Answer 11

Cyanosis, 2-10 days old, Single S2, Systolic ejection murmur. May have hypospadis, cleft palate.

Question 12

How do you diag TOF?

Answer 12

CXR= boot shape, tachypnic, (Echo)

Question 13

How do you treat TOF?

Answer 13

PGE1 (open ductus) & Surgery (BT shunt)

Question 14

What is a complication of TOF?

Answer 14

Stroke

Question 15

Can Beta Blockers help TOF?

Answer 15

Yes

Question 16

Can you use CCB under 1 year of life?

Answer 16

No

Question 17

Whats is the patho in CoA?

Answer 17

Obstruction distal subclavian, near ductus arteriosis

Question 18

CoA presents with?

Answer 18

Systemic Shock, HF, and changes in BP.

Question 19

What disease are associate with CoA?

Answer 19

Turners, HTN, Bicuspid Aorta, Aortic Disection, CHF.

Question 20

Coa sounds like

Answer 20

systolic at left infraclavicular and subscapular

Question 21

how does CoA diag?

Answer 21

CXR- cardiomeg and 3 inverted, rib notching.

Question 22

How to you treat CoA?

Answer 22

PGE, doputamine, dopamine, and balloon angioplasty

Question 23

What is associated withCoa?

Answer 23

AAA, Cerebral aneurysm.

Question 24

What is restricted in CoA?

Answer 24

Isometric exercises

Question 25

What is the mc hole in the heart?

Answer 25

Ostium secundum of ASD

Question 26

ASD is associated with what 2 heart diseases?

Answer 26

A Fib and Eisenmengers (due to pulm HTN)

Question 27

ASD presentation?

Answer 27

Asymptomatic. DOE, URIs, Poor wt gain, CHF (if large enought)

Question 28

How do you diag ASD

Answer 28

Wide Fixed split S2. BNP elevated. | TEE - gold

Question 29

PDAs naturally close when this compound increases

Answer 29

Bradykinin

Question 30

What is a common SE of PGE?

Answer 30

Apnea

Question 31

What category of Congenital heart disease would benefit from Palivizumab?

Answer 31

Cyanoses (TOF)

Question 32

most likely to present as a ductal-dependent cardiac lesion?

Answer 32

CoA

Question 33

Maternal use of lithium can lead to what abnormality?

Answer 33

Ebstein's = dialted LA and lower tricuspid with TR

Question 34

the most common congenital heart defect?

Answer 34

VSD

Question 35

following conditions is hypoxemia caused by a right-to-left shunt?

Answer 35

Eisenmenger