26 Cardiac
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Questions and Answers

What is the most common congenital heart defect?

  • Patent ductus arteriosus (PDA)
  • Atrial septal defect (ASD)
  • Ventricular septal defect (VSD) (correct)
  • Tetralogy of Fallot

What condition is generally irreversible and signifies a shift from left to right shunt in congenital heart disease?

  • Endocarditis
  • Cyanosis
  • Eisenmenger's syndrome (correct)
  • Polycythemia

In congenital heart disease, what do children do to increase systemic vascular resistance and decrease right-to-left shunts?

  • Lie down
  • Jump
  • Squat (correct)
  • Stand up

Which congenital heart disease presents with cyanosis and can lead to complications such as polycythemia and strokes?

<p>Tetralogy of Fallot (C)</p> Signup and view all the answers

Which connection shunts blood away from the liver in utero?

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

Which congenital heart defect usually causes symptoms after 4–6 weeks of life?

<p>Ventricular septal defect (VSD) (A)</p> Signup and view all the answers

What is the most common site of native valve infections?

<p>Mitral valve (B)</p> Signup and view all the answers

Which organism is responsible for 50% of endocarditis cases?

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

What is the most common benign tumor of the heart?

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

What is the most common malignant tumor of the heart?

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

What is the most common metastatic tumor to the heart?

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

What is indicated when there is mediastinal bleeding of more than 500 cc for the first hour or more than 250 cc/h for 4 hours?

<p>Re-exploration after cardiac procedure (C)</p> Signup and view all the answers

What characterizes post-pericardiotomy syndrome?

<p>Pericardial friction rub, fever, chest pain, SOB (B)</p> Signup and view all the answers

What is recommended for the treatment of post-pericardiotomy syndrome?

<p><strong>NSAIDs</strong> and <strong>steroids</strong> (A)</p> Signup and view all the answers

What should be done in case of significant learning outcomes?

<p>Modify the treatment plan as necessary. (B)</p> Signup and view all the answers

Which of the following is essential for successful therapy in endocarditis?

<p>Success rate of 75% with medical therapy alone. (B)</p> Signup and view all the answers

Which congenital heart defect results in cyanosis?

<p>Tetralogy of Fallot (B)</p> Signup and view all the answers

What is the most common cause of death in the United States?

<p>Coronary artery disease (B)</p> Signup and view all the answers

Which valve disease is commonly caused by leaflet prolapse?

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

What is the usual timing of repair for atrial septal defects?

<p>1-2 years of age (C)</p> Signup and view all the answers

What is the primary morphologic abnormality in Tetralogy of Fallot?

<p>Infundibular septum displacement (A)</p> Signup and view all the answers

What is the best conduit for coronary artery bypass grafting (CABG)?

<p>Internal mammary artery (B)</p> Signup and view all the answers

What are the complications of myocardial infarction?

<p>(VSD) Ventricular septal rupture and papillary muscle rupture (D)</p> Signup and view all the answers

Which valve disease is rare and most commonly caused by rheumatic fever?

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

What causes constriction of the heart in constrictive pericarditis?

<p>Inflammation of the pericardium (D)</p> Signup and view all the answers

What is the primary risk factor for high mortality in coronary artery bypass grafting (CABG)?

<p>Low ejection fraction (EF) (D)</p> Signup and view all the answers

Which congenital heart defect results in bounding peripheral pulses and widened pulse pressure?

<p>Patent ductus arteriosus (PDA) (A)</p> Signup and view all the answers

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