Order Congenital Heart Disease Assignment

Order Congenital Heart Disease Assignment
Order 5989347
Order Congenital Heart Disease Assignment
A 3-year-old patient presents to you for evaluation
secondary to a referral from his pediatrician for a
murmur. You diagnose the patient with a functional
murmur. Common characteristics of this murmur
include all of the following, except:
(A) Often described as musical or ‘‘twanging string’’
(B) Normal electrocardiogram (EKG) and chest
radiograph (CXR)
(C) Also known as a Still murmur
(D) Best heard in the upright position
(E) Usual intensity is II-III/VI
2 Which of the following statements is incorrect
regarding the sinus venosus atrial septal defect (ASD)
demonstrated in the angiogram shown?
(A) Sinus venosus defects account for<25% of ASDs
(B) Sinus venosus defects are located posterior to
the fossa ovalis
(C) Sinus venosus defect is commonly associated
with anomalous connection of the left pulmonary veins (PVs)
(D) Approximately, 50% of these patients have a
frontal P-wave axis <30 degrees
(E) The Warden procedure may be used to treat
the anomalous pulmonary venous drainage
associated with the sinus venosus defect
3 The following angiogram was performed on a patient
who had fever for 5 days, acute erythema of the palms
and soles, bilateral bulbar conjunctival injection
without an obvious exudate, a strawberry tongue,
and cervical lymphadenopathy. What is the most
likely diagnosis?
(A) Toxic shock syndrome
(B) Stevens-Johnson syndrome
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Congenital Heart Disease 245
(C) Takayasu arteritis
(D) Henoch-Schonlein purpura ¨
(E) Kawasaki disease
Order Congenital Heart Disease Assignment
4 Which of the following statements regarding
Kawasaki disease is false?
(A) Coronary artery aneurysms or ectasia will
develop in approximately 15% to 25% of
untreated children with Kawasaki disease
(B) Most children in the United States diagnosed
with Kawasaki disease are older than 5 years
(C) Regressed coronary artery aneurysms are not
histopathologically normal
(D) In the United States, Kawasaki disease is the
leading cause of acquired heart disease in
children
(E) In the United States, intravenous immunoglobulin (IVIG) is recommended for all children with
Kawasaki disease
5 Congenital rubella is associated with all of the
following cardiovascular abnormalities, except:
(A) Ebstein anomaly
(B) Patent ductus arteriosus (PDA)
(C) Ventricular septal defect (VSD)
(D) Transposition of the great arteries
(E) Tricuspid atresia
6 A 6-month-old patient presents to your office for
evaluation. The mother reports that her child has
had poor weight gain, excessive sweating, and poor
feeding. You note that the record documents repeated
problems with upper respiratory tract infections.
On examination, the patient is tachycardic and
tachypneic. His pulses are bounding and a thrill is
palpable at the left upper sternal border. You obtain
a CXR. What is the most likely diagnosis?
(A) Secundum ASD
(B) Patent foramen ovale
(C) PDA
(D) Muscular VSD
(E) Branch pulmonary artery (PA) stenosis
7 The following statements regarding Ebstein anomaly
are true, except:
(A) There is characteristic displacement of the septal
and anterior leaflets into the right ventricle (RV)
(B) There is commonly an ASD or patent foramen
ovale present
(C) EKG may reveal right atrial (RA) enlargement
(D) There is an equal frequency between men and
women
Order Congenital Heart Disease Assignment
(E) Of these patients 20% to 30% will also have
Wolff-Parkinson-White (WPW) syndrome
8 Which of the following associated cardiac diseases do
patients with Duchenne muscular dystrophy commonly have?
(A) Restrictive cardiomyopathy
(B) VSDs
(C) Ebstein anomaly
(D) Dilated cardiomyopathy
(E) Long QT syndrome
9 The following echocardiogram would most likely be
associated with which syndrome?
(A) Hurler syndrome
(B) Holt-Oram syndrome
(C) Costello syndrome
(D) Noonan syndrome
(E) Down syndrome
10 Characteristic physical findings of patients with
Marfan syndrome include all of the following,except:
(A) Malar hypoplasia
(B) Positive thumb and wrist sign
(C) Arm span <105% of their height
(D) Pectus excavatum
(E) Pes planus
11 Blalock-Taussig shunts (BTS) are often used in
structural cardiac disease as a palliative procedure
to improve pulmonary blood flow. Which of the
following anatomic connections describes the BTS
anastomotic sites?
(A) Descending thoracic aorta to the main pulmonary artery (MPA)
246 900 Questions: An Interventional Cardiology Board Review
(B) Subclavian artery to PA
(C) Superior vena cava (SVC) to PA
(D) Ascending aorta to the right pulmonary artery
(RPA)
(E) Left ventricular apex to the descending thoracic
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