Drose Fetal Echo Flashcards

(105 cards)

1
Q
A
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2
Q

Av canal, tetrology of fallot, DORV,

A

All have strong association with aneuploidy

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3
Q

What is the most commonly recognized heart defect

A

Ventricular septal defect

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4
Q

Coarctation, aortic stenosis, HLHS

A

Associated with Turners

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5
Q

Noonan syndrome

A

The syndrome most commonly associated with a dysplastic pulmonic valve

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6
Q

Rhabdomyoma

A

The most common cardiac tumor in a fetus

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7
Q

Tubular sclerosis

A

Commonly associated with rhabdomyoma

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8
Q

Polysplenia

A

Associated with AV Canal and heart block

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9
Q

Coarctation of Aorta

A

The most common associated cardiac anomaly with hypoplastic left heart syndrome

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10
Q

Pulmonary atresia with intact interventricular septum

A

Is what hypoplasia of the right ventricle is most commonly resulted from

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11
Q

Between the left subclavian artery and the ductus arteriosus

A

The most common area of narrowing with a coarctation

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12
Q

Subaortic

A

The most common location of the VSD in Tetrology of Fallot

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13
Q

Left ventricle

A

And truncus arteriosus a single truncal valve is least likely to arise from this

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14
Q

Pulmonary stenosis

A

The most common associated cardiac defect with double outlet right ventricle

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15
Q

Ostium secundum

A

The most common type of atrial septal defect

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16
Q

Dextrocardia

A

Heart is right side of chest with apex pointing right

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17
Q

Dextroposition

A

Heart is right side of chest with apex pointing left

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18
Q

Place in atrium proximal, to valve

A

Eval for insufficiency

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19
Q

Place in ventricle, distal to valve

A

Eval for stenosis

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20
Q

8:1000

A

Risk of Chd in live births

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21
Q

13-35%

A

% of CHD associated w chromosome abnormality

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22
Q

Transposition, Truncus, TOF

A

CHD’s assoc with maternal diabetes

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23
Q

40-57% detection

A

4chamber view alone only rules out what % of CHD

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24
Q

<120cm/s

A

Normal velocity at Aortic arch

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25
Distal to valve in ascending aorta
Proper placement to evaluate aortic stenosis is
26
Ductus arteriosis, pulm artery, descending aorta
Ductal arch consists of...
27
\>1.4 M/S
Ductal constriction velocity noted ...
28
IUGR
Decreased velocity of ductus noted with...
29
Persistent left ivc
An extra vessel seen in 3vv indicates what
30
Cor Tri Atrium
Additional chamber arising from left atrium
31
Situs inversus and dextrocardia
Mirror Image right A and V are on left. Physiologically normal.
32
Ivemark syndrome
Asplenia also referred to as what
33
Polysplenia
Also known as left atrial isomerism
34
Asplenia
Right sidedness, tri lobed lung, and midline liver are characteristics of....
35
Asplenia
More severe CHD seen with poly or asplenia
36
21-22 days
Heart contractions begin how long after conception
37
Sinus Node
Pacemaker of the heart
38
Tachycardia
Sustained rate \>180 bpm
39
SVT
Most common tachy
40
1:1
Ratio of conduction with SVT
41
Sinus Tachy or Brady
Arrhythmia from maternal or fetal distress, shows variables
42
2:1 or 3:1
Atrial flutter conduction ratio
43
\<100bpm sustained
Bradycardia rate
44
Bigeminy
Every other beat is premature and blocked by AV node
45
Complete AV block
Complete disassociation between atrial and vent beats.
46
Defects of AV junction- like corrected TGV, left isomerism, connective tissue disorders (lupus)
Heart block associations
47
Endocardium cushions not fusing properly
Cause of AVSD
48
Type A
Type of Complete AVSD associated with T21 and other CHD's
49
Intermediate
Least common AVSD
50
2.9%
AVSD is what % of all heart defects
51
40%
% of AVSD in those with T21
52
Twice the FHR, RT to LT
Flow at the foraminal flap is
53
Pulm artery at level of DA, aortic arch and SVC in the same plane
What constitutes the 3 vessel view
54
Dilated azygous vein
In a 4 view, a "double vessel" sign indicates this... Which acts as a collateral to the IVC
55
Polysplenia
Dilated azygous vein, interrupted IVC may indicate..
56
More tortuous vessel
Velocity of the ductal arch increases with GA because..
57
Perisistent left SVC
Failure of degeneration of the left Cardinal vein results in...
58
Tubular structure between left vent and atrium
Coronary sinus
59
\<1%
Situs solitus with levocardia associated with what percent CHD
60
95%
Situs solitus with dextrocardia associated with having what percentage of a CHD
61
Valvular stenosis
Most common type of Aortic stenosis
62
Tetrology of Fallot
Most common tissue migration abnormality
63
Matrix abnormality, endocardial cushion defect
AVSD is an example of ..
64
Muscular VSD and Ebstein anomaly
Examples of cellular death abnormality
65
Increases w gest age
Normal EA ratio of mitral valve
66
Agenesis of ductus venosus
A dilated IVC may indicate this
67
Truncal
Levocardia is associated with what type of defects
68
Truncal defects
A right sided aortic arch is common with ...
69
Asplenia
AV canal and double outlet right ventricle most likely indicates...
70
Cardiac teratoma
Single, encapsulated tumors of heart attached by a stalk
71
Cardiac fibroma
Single, non encapsulated , usually involve left ventricular wall and septum.
72
Arrhythmia, stenosis, and non immune hydrops
A fetus with cardiac mass may develop...
73
Aorta
In 3VV, which structure is most superior
74
\>50%
Cardiomegaly is with a CC:TC ratio
75
Chiari network
Echoes within the right atrium can represent...
76
Type A
Which type of complete AVSD is an isolated defect and associated with T21
77
Dilated right atrium and pulmonary artery, dextroposition
Complete types of AVSD usually present with what
78
Intermediate
Least common type of AVSD
79
2.9% of all heart defects
Occurrence of AVSD
80
Inlet
What type of vsd occurs as part of an AVSD?
81
Peri membranous
75% of VSD's are what type?
82
Right bundle branch blockage
Most common complication after a muscular VSD closure
83
Left to right in systole and right to left in diastole
Bidirectional shunting of VSD is characterized by...
84
70%
What percentage of CHD is isolated?
85
AVSD, VSD, TOF
Which defects are most likely to be associated with abnormal chromosomes?
86
10-12%
What is the risk of CHD to fetus of affected mother?
87
Heterotaxy, d-TGA
What defects are least likely to be associated with abnormal chromosomes?
88
22q11 deletion
DiGeorge syndrome also known as
89
2-4%
Risk to fetus with one affected sibling
90
TOF, PS, coarctation
What CHD's will most likely have associated non-cardiac anomalies?
91
10%
Risk to fetus with 2 or more affected siblings is?
92
Conotruncal and VSD
Type of CHD's associated with DiGeorge
93
Aortic and pulmonary stenosis, VSD
What are the most common defects seen with William syndrome?
94
7q11.23 deletion
William syndrome also referred to as what?
95
Coarctation, ASD, Aortic stenosis
what CHD's are commonly seen with Turners (45X)?
96
Premature closure of Ductus Arteriosis
Indomethacin use may cause what?
97
Left sided defects
Increased NT associated with what?
98
HLHS, TOF, TGA
What defects can be associated with anti seizure meds (phenytoin, valproic acid, trimethadoine)?
99
Ebstein anomaly
The use of lithium has been associated with what CHD?
100
AVSD and CHF
Abnormal heart rate and rhythm associated with what defects?
101
95%
Isolated dextrocardia is associated with CHD in what % of cases
102
Ebstein, coarctation, severe tricuspid regurgitation... Enlarged right atrium
Severe levocardia is associated with what type of defects
103
25%
Dextrocardia with heterotaxy associated with CHD in what % of cases
104
Thoracic
Most common type of ectopia cordis
105
Thoracoabdominal
Pentology of Cantrell is considered what type of ectopia cordis