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Flashcards in Congenital Heart Disease Deck (46)
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1

In a patient with VSD, the BP is 120/80 and the peak systolic velocity of the VSD is 5m/s. The RV systolic pressure and Systolic PA pressure is:
A. 120 mmHg
B. 20 mmHg
C. 30 mmHg
D. 110 mmHg

B. 20 mmHg

RVSP and SPAP (mmHg) = SBP - 4 x VSD peak vel^2

2

The cardiac chambers that are enlarged in VSDs initially are:
A. RA and RV
B. RV and LV
C. LA and LV
D. LA and RA

C. LA and LV

3

Congenital heart defects strongly associated with Ebstein's anomaly include:
A. ASD
B. Coarctation of the Aorta
C. Discrete subaortic stenosis
D. Parachute MV

A. ASD

4

The normal Qp/Qs ratio is:
A. 50%
B. 2:1
C. 1:1
D. 1:2

C. 1:1

5

The view of choice when examining a patient with secundum ASD is:
A. A4
B. PSAX-AV
C. Subcostal 4 Chamber
D. PLAX

C. Subcostal 4 Chamber

6

The congenital heart defect most associated with Down Syndrome (trisomy 21) is:
A. Atrioventricular septal defect
B. Peripheral pulmonary stenosis
C. Coarctation of the Aorta
D. Tetralogy of Fallout

A. Atrioventricular Septal Defect

7

All of the following surgical repairs for congenital heart disease are correctly matched EXCEPT:
A. Ross: Surgical ligation of a patent ductus arteriosus
B. Blalock-Taussig: Right subclavian artery to the right pulmonary artery
C. Modified Glenn: SVC to the right PA
D. Fontan: Single ventricle repair

A. Ross: Surgical ligation of a patent ductus arteriosus

8

The physical finding of cyanosis is most common in:
A. Pulmonary regurgitation
B. Mitral valve prolapse
C. Patent foramen ovale
D. Eisenmenger's Syndrome

D. Eisenmenger's Syndrome

9

Uhl's anomaly is:
A. LA Aneurysm
B. Abnormal displacement of the TV
C. RV Dysplasia
D. Ostium primum ASD with cleft MV

C. RV Dysplasia

Uhl’s anomaly (parchment heart) is a congenital disorder where
the right ventricular myocardium is absent and is replaced with
fibro-fatty tissue. It is the most extreme form of right ventricular
dysplasia

10

All of the following are true concerning Supravalvular aortic stenosis EXCEPT:
A. Associated with proximal coronary artery dilatation
B. LV Volume Overload
C. Hourglass type associated with William's Syndrome
D. PLAX allows visualization

B. LV Volume Overload

11

A congenital malformation of the TV in which one, two, or all three leaflets are displaced downward from the annulus with RV dysplasia is known as:
A. Epstein-Barr anomaly
B. Tricuspid Stenosis
C. Ebstein's anomaly
D. Tricuspid atresia

C. Ebstein's anomaly

12

A potential complication of patent foramen ovale is:
A. Congestive Heart Failure
B. Paradoxical embolus
C. Mitral valve stenosis
D. Valvular stenosis

B. Paradoxical embolus

13

The cardiovascular abnormalities seen with Marfan Syndrome include all of the following EXCEPT:
A. Mitral Supravalvular ring
B. Aortic dissection
C. Dilatation of the aortic root, sinuses, and ascending aorta
D. Mitral valve prolapse

A. Mitral Supravalvular ring

14

A redundancy of the mid-portion of the atrial septum which may result in an inter-atrial shunt is called:
A. DSS
B. SAM
C. ASA
D. ASH

C. ASA
Atrial septal aneurysm

15

Patent ductus arteriosus results in:
A. LV volume overload
B. LV pressure overload
C. RV volume overload
D. RV pressure overload

A. LV volume overload

16

Valvular lesions with coarctation of the aorta is strongly associated include:
A. Bicuspid aortic valve
B. Aortic valve flail
C. Tricuspid atresia
D. Aortic valve vegetation

A. Bicuspid Aortic Valve

17

A complete atrioventricular septal defect is ostium primum atrial septal defect with:
A. Canal (inlet)-type VSD, PDA
B. Cleft MV
C. Canal (inlet)-type VSD, common atrioventricular valve
d. Coarctation of the aorta

C. Canal (inlet)-type VSD, common atrioventricular valve

18

A 2D echo finding for an aortic intimal flap indicates aortic:
A. Aneurysm
B. Stenosis
C. Dissection
D. Regurgitation

C. Dissection

19

The type of VSD most often associated with ventricular septal aneurysm is:
A. Perimembranous
B. Outlet
C. Inlet
D. Trabecular

A. Perimembranous

20

Possible complications of aortic dissection include all of the following EXCEPT:
A. Pericardial effusion
B. LV inflow tract obstruction
C. Progressive enlargement of the aorta
D. Aortic regurgitation

B. LV inflow tract obstruction

21

The most common location for aneurysm of the aorta is the:
A. Ascending Aorta
B. Transverse Aorta
C. Descending thoracic aorta
D. Abdominal Aorta

D. Abdominal Aorta

22

The four defects that make up tetralogy of Fallout are RV outflow tract obstruction (i.e PS), VSD, RVH and
A. Deviation of the Aorta
B. Coarctation of the Aorta
C. Cleft Mitral Valve
D. ASD

A. Deviation of the Aorta

23

A possible etiology for aortic aneurysm is:
A. Aortic Regurgitation
B. Dilated cardiomyopathy
C. Marfan syndrome
D. Coronary artery disease

C. Marfan Syndrome

24

A membrane stretching from the left side of the IVS to the right side of the AMVL is called:
A. Hourglass aortic stenosis
B. "Strand" aorta
C. Aortic Dissection
D. Discrete subaortic stenosis

D. Discrete subaortic stenosis

DSS is a thin fibrous membrane located just beneath the AV in the LVOT.

25

The typical murmur associated with patent ductus arteriosus is:
A. Continuous murmur
B. Late systolic murmur
C. Decrescendo diastolic murmur
D. Holosystolic murmur

A. Continuous murmur

26

All of the following are associated echocardiographic findings for ASD except:
A. RVE
B. RAE
C. LVE
D. PSM of IVS

C. LVE

27

A defect is found in the central portion of the IAS. The type of ASD present is:
A. Coronary sinus
B. Ostium primum
C. Sinus venosus
D. Ostium secundum

D. Ostium secundum

28

For an agitated saline contrast exam, where will contrast appear proving the patient has an ASD?
A. RV
B. Main pulmonary artery
C. LA
D. RA

C. LA

29

In coarctation of the aorta blood pressure in the legs:
A. is lower than the right arm
B. is equal to BP in the right arm
C. is higher than in the right arm
D. cannot be compared with BP in the right arm

A. is lower than the right arm

30

All of the following are associated with pulmonary stenosis EXCEPT:
A. RV Hypertrophy
B. PI
C. Systolic doming of the PV
D. Coarctation of the aorta

D. Coarctation of the aorta