Congenital Heart Defects Quiz
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Questions and Answers

Which imaging technique is most commonly used for the diagnosis of Patent Ductus Arteriosus (PDA)?

  • CT scan
  • Echocardiogram (correct)
  • Ultrasound
  • MRI

What is the main characteristic of Pulmonic Stenosis (PS) that leads to right ventricle (RV) pressure overload?

  • Stenosis of the pulmonary valve
  • Compensatory hypertrophy of the ventricles (correct)
  • Decreased contractility
  • Increased aortic flow

Which symptom is NOT typically associated with Aortic Coarctation?

  • Cyanosis of the lips (correct)
  • Fatigue
  • Lower extremity claudication
  • Headache

In adults, what is the usual status of the ductus arteriosus?

<p>Stenotic (C)</p> Signup and view all the answers

What is the typical appearance of vascular markings on a chest X-ray in a patient with Coarctation of the Aorta?

<p>Decreased vascular markings (C)</p> Signup and view all the answers

Which valve abnormality is often found in association with Aortic Constriction?

<p>Bicuspid aortic valve (D)</p> Signup and view all the answers

Which symptom is a cardinal symptom of aortic stenosis that occurs late after years of obstruction?

<p>Syncope (A)</p> Signup and view all the answers

What is the most common cause of aortic stenosis in adults?

<p>Age-related degenerative calcific AS (C)</p> Signup and view all the answers

Which physical examination finding is characteristic of aortic regurgitation?

<p>Diamond-shaped systolic murmur with thrill (C)</p> Signup and view all the answers

What is a common etiology of aortic regurgitation in males?

<p>Cystic medial necrosis (A)</p> Signup and view all the answers

Which sign is typically associated with wide pulse pressure and aortic regurgitation?

<p>Quincke's sign (B)</p> Signup and view all the answers

Where is the systolic murmur typically loudest in aortic regurgitation?

<p>2nd right intercostal space (A)</p> Signup and view all the answers

How is gum disease associated with heart disease?

<p>By leading to transmission of oral bacteria into the blood (A)</p> Signup and view all the answers

What is the reason for using preventative antibiotics prior to dental treatment for certain patients?

<p>To avoid bacterial transmission into the blood (A)</p> Signup and view all the answers

How can tooth infection contribute to a fatal heart attack?

<p>By resulting in the death of cardiac tissue (A)</p> Signup and view all the answers

What changes are observed in the heart murmur with Valsalva maneuver in a patient with the described symptoms?

<p>The murmur disappears (D)</p> Signup and view all the answers

What is one of the typical findings in an ECG of a patient with the described symptoms?

<p>Prominent “septal” Q waves in leads I, aVL, V5–6 (A)</p> Signup and view all the answers

What is a common method used to detect periods of atrial fibrillation or ventricular tachycardia in patients with such cardiac symptoms?

<p>Holter monitor (D)</p> Signup and view all the answers

What does the 'U' stand for in the CURB-65 score for pneumonia severity?

<p>Urea level greater than 7mmol/L (D)</p> Signup and view all the answers

How long may it take for follow-up CXR abnormalities to clear in pneumonia cases?

<p>4-12 weeks (D)</p> Signup and view all the answers

Which patients should receive both influenza and pneumococcal vaccines according to the text?

<p>Patients with a CURB-65 score of 0 (C)</p> Signup and view all the answers

What is the recommended antibiotic treatment for outpatient pneumonia in previously healthy individuals with no recent antibiotic use?

<p>Clarithromycin or Azithromycin (A)</p> Signup and view all the answers

What is considered the best option for antibiotic treatment in patients with pneumonia who have an allergy to Amoxicillin?

<p>Clarithromycin (C)</p> Signup and view all the answers

Which factor is NOT considered important in the pathogenesis of Ventilator-Associated Pneumonia (VAP)?

<p>Infection originating from the skin (A)</p> Signup and view all the answers

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