INFO

Question 1

Heart Rate of 0-24 hours?

Answer 1

145 (70-200)

Question 2

Heart Rate of 1-11 Month?

Answer 2

130 (80-120)

Question 3

Heart Rate of 1 - 3 year old?

Answer 3

110 (80-130)

Question 4

Heart Rate of 4-8 Year old?

Answer 4

100 (75-115)

Question 5

Heart Rate of 8-12 year old?

Answer 5

90 (70 - 110)

Question 6

B/P of Preterm?

Answer 6

50/30

Question 7

BP of Term?

Answer 7

65/40

Question 8

BP of 6 month?

Answer 8

90/60

Question 9

BP of 12 month?

Answer 9

95/65

Question 10

BP of 2 year?

Answer 10

100/65

Question 11

BP of a 5 year?

Answer 11

95/55

Question 12

BP of a 12 year?

Answer 12

110/60

Question 13

BP of a 23 year?

Answer 13

120-80

Question 14

T/F: K is the most marked electrolyte difference?

Answer 14

TRUE

Question 15

What is the normal K of a term?

Answer 15

6.0 - 6.5

Question 16

T/F: Increased Cl and decreased HCO3 lead to slightly lower pH and an increased risk of developing metabolic acidosis.

Answer 16

TRUE

Question 17

T/F: Renal clearance take time to reach adult levels ~ 2 years, most by 3 month.

Answer 17

TRUE

Question 18

Most common type of dehydration seen is Isotonic.

Answer 18

TRUE

Question 19

T/F: Pyloric stenosis is an emergncy.

Answer 19

FALSE

Question 20

What does not change in a newborn?

Answer 20

Stroke volume

Question 21

The hallmark of intravascular fluid depletion in neonates and infants is?

Answer 21

Hypotension without tachycardia

Question 22

A concern for paradoxical air embolism may occur in the neonate because of?

Answer 22

Patent Foramen ovale

Question 23

What are volume overloading lesions (L to R shunt)

Answer 23

ASD
VSD
AVSD
PDA Truncus Arteriosus

Question 24

What are obstruction of pulm Flow (R to L shunt)

Answer 24

Pulm Stenosis/Atresia
TOF
Ebstein’s Anomaly

Question 25

Parallel circulation (ductal dependent)

Answer 25

D-Transposition of the Great Arteris

Question 26

Single Ventricle Lesion (ductal depent)

Answer 26

Tricuspid atresia DILV Unbalanced AV septal defect

Question 27

How to treat a L to R shunt?

Answer 27

- Decrease Afterload | - Diuretics

Question 28

How to treat R to L shunt?

Answer 28

Decrease PVR | Increase Afterload

Question 29

T/F: Secundum ASD at the fossa ovalis is the most common Atrial septal Defect.

Answer 29

TRUE

Question 30

What causes the systolic and diastolic murmurs of ASD?

Answer 30

- Systolic murmur is caused by increased flow across the pulmonary valve, NOT THE ASD - Diastolic murmur is caused by increased flow across the tricuspid valve and this suggest high flow Qp:Qs is 2:1.

Question 31

Is endocarditis prophylaxis required for ASD?

Answer 31

NO

Question 32

T/F: Most common type of ventral septal defect is perimembranous.

Answer 32

TRUE

Question 33

What genetic desease is AVSD more commonly seen in?

Answer 33

Down's syndrome (Seen in 20 -25 % of cases)

Question 34

What other heart anomaly is coarctiation associated with?

Answer 34

Bicuspid aortic valve seen in > 70% of cases

Question 35

What genetic syndrome is coarctation seen in?

Answer 35

Turner's syndrome

Question 36

What to remember about Kawasaki Desease?

Answer 36

Vasculitis | MI

Question 37

What to remember about turner syndrome?

Answer 37

``` X linked HTN Liver disease Obesity DM, hypoothyroidism ```

Question 38

What to remember about WIlliams Syndrome?

Answer 38

``` Chromosome 7 deletion in the elastin gene Elfin facies MR Growth deficiency Altered neurodevelpment ```

Question 39

T/F: Willams Syndrome has super valve aortic stenosis.

Answer 39

TRUE

Question 40

An appropriate blood pressure for a neonate should be:

Answer 40

65/45

Question 41

Does the premature infant's heart exhibit greater or lesser sensitivity to catecholamine?

Answer 41

Less sensitive due to the fact the the infant's beta adrenergic stimulation is maxed out

Question 42

T/F: A TET spell is related to ToF.

Answer 42

TRUE

Question 43

The most common type of T-E fistula is:

Answer 43

type IIIB

Question 44

In a patient with CDH, what should the peak inspiratory pressure be (cmH20).

Answer 44

20

Question 45

Which is not a manifestation of CDH:

Answer 45

Lab test

Question 46

What shunts are made in Norwood Stage 1:

Answer 46

BT shunt | Sano modification

Question 47

What shunts are disconnected and made in Norwood Stage 2?

Answer 47

BT shunt disconnected | Glenn shunt to pulmonary artery

Question 48

What shunts are made in Norwood Stage 3?

Answer 48

- Fontan - SVC and IVC connected to pulmonary artery - Fenestration (Sometimes)

Question 49

What is the sats of BT shunt:

Answer 49

75

Question 50

What is the sats of glen shunt?

Answer 50

85

Question 51

What is the sats of fontan

Answer 51

95