4.3 CARDIAC
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Questions and Answers

What is the primary function of the ductus venosus in fetal circulation?

  • Enables deoxygenated blood from the SVC to pass into the RV
  • Permits the mixing of oxygenated and deoxygenated blood in the PA
  • Allows the majority of oxygenated placental blood to bypass the liver and enter the IVC (correct)
  • Allows oxygenated blood from the placenta to pass from the RA to LA

What is the most common form of congenital disease?

  • Multifactorial origin
  • Congenital heart disease (correct)
  • Chromosomal abnormalities
  • Infections

Which of the following conditions is associated with the highest risk of adverse outcome from endocarditis?

  • Repaired CHD with residual defects
  • Cardiac transplant recipients who develop cardiac valvulopathy
  • Unrepaired cyanotic CHD (correct)
  • Prosthetic cardiac valve or prosthetic material used for cardiac valve repair

What is the result of a left-to-right shunt in acyanotic lesions?

<p>Increased pulmonary blood flow (A)</p> Signup and view all the answers

What is the threshold for closure of an atrial septal defect?

<p>Pulmonary blood flow &gt; 1.5 x systemic blood flow (D)</p> Signup and view all the answers

What is the primary reason for closure of the ductus arteriosus after birth?

<p>Flow reversal followed by constriction of the muscular wall (C)</p> Signup and view all the answers

What is the primary goal of hemodynamic management in Eisenmenger's syndrome?

<p>To achieve a balance between pulmonary and systemic vascular resistance (B)</p> Signup and view all the answers

What is the most common lesion associated with tricuspid atresia?

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

What is the primary mechanism of action of prostaglandin E infusion in the initial treatment of transposition of the great arteries?

<p>Maintains patency of the PDA (B)</p> Signup and view all the answers

What is the characteristic feature of Eisenmenger's syndrome?

<p>Reversal of a left-to-right shunt (A)</p> Signup and view all the answers

What is the most common symptoms of tricuspid atresia?

<p>Dependent on the degree of obstruction to pulmonary blood flow (D)</p> Signup and view all the answers

What is the mortality rate without surgical treatment in transposition of the great arteries at 1 year?

<p>Essentially 100% (A)</p> Signup and view all the answers

What is the effect of increased pulmonary vascular resistance on a left-to-right shunt?

<p>It decreases the left-to-right shunt (B)</p> Signup and view all the answers

What is the primary goal of anesthetic management in a patient with a ventricular septal defect?

<p>To minimize the left-to-right shunt (C)</p> Signup and view all the answers

What is the effect of volatile anesthetics on a left-to-right shunt in a patient with a ventricular septal defect?

<p>They decrease the left-to-right shunt (B)</p> Signup and view all the answers

What is the indication for surgical correction of a ventricular septal defect?

<p>Prior to the development of right ventricular hypertrophy (B)</p> Signup and view all the answers

What is the effect of increased sympathetic stimulation on a right-to-left shunt in a patient with a ventricular septal defect?

<p>It increases the right-to-left shunt (B)</p> Signup and view all the answers

What is the primary goal of anesthetic management in a patient with a patent ductus arteriosus?

<p>To minimize the left-to-right shunt (C)</p> Signup and view all the answers

What is the effect of increased FiO2 on a right-to-left shunt in a patient with a ventricular septal defect?

<p>It decreases the right-to-left shunt (A)</p> Signup and view all the answers

What is the characteristic of a cyanotic lesion?

<p>Right-to-left shunt (A)</p> Signup and view all the answers

What is the effect of a decrease in systemic vascular resistance on a right-to-left shunt in a patient with tetralogy of Fallot?

<p>It increases the right-to-left shunt (B)</p> Signup and view all the answers

What is the preferred induction agent in a patient with tetralogy of Fallot?

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

In a patient with L-transposition of the great arteries, what is the correct sequence of blood flow?

<p>RA -&gt; mitral valve -&gt; LV -&gt; pulmonic valve -&gt; lungs (C)</p> Signup and view all the answers

What is the primary concern in anesthetizing a patient with transposition of the great arteries?

<p>Avoiding myocardial depression (C)</p> Signup and view all the answers

What is the treatment for truncus arteriosus?

<p>Repair VSD and create an artificial pulmonary artery (C)</p> Signup and view all the answers

What is the result of total anomalous pulmonary venous return?

<p>Oxygenated blood returns to the right heart (D)</p> Signup and view all the answers

What is the purpose of prostaglandin infusion in a patient with hypoplastic left heart?

<p>To maintain the PDA (B)</p> Signup and view all the answers

What is the primary symptom of a double aortic arch?

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

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