Podcast
Questions and Answers
What percentage of congenital heart diseases are classified as cyanotic?
What percentage of congenital heart diseases are classified as cyanotic?
- 30%
- 20%
- 80% (correct)
- 5%
Which of the following is NOT a possible cause of congenital heart disease?
Which of the following is NOT a possible cause of congenital heart disease?
- Maternal irradiation
- Maternal use of antibiotics (correct)
- Fetal alcohol syndrome
- Maternal diabetes
Which congenital heart disease is most commonly associated with Down syndrome?
Which congenital heart disease is most commonly associated with Down syndrome?
- Patent ductus arteriosus (PDA)
- Ventricular septal defect (VSD)
- Pulmonary stenosis (PS)
- Endocardial cushion defect (CAVC) (correct)
What is the most common etiology of congenital heart diseases?
What is the most common etiology of congenital heart diseases?
Which of the following is a common presentation of congenital heart disease?
Which of the following is a common presentation of congenital heart disease?
What type of heart sound is associated with a slapping quality?
What type of heart sound is associated with a slapping quality?
Which of the following is NOT a possible cause of an impalpable apex beat?
Which of the following is NOT a possible cause of an impalpable apex beat?
A patient with a shifted apex beat outward and downward in the next intercostal space, localized and strong, is most likely experiencing:
A patient with a shifted apex beat outward and downward in the next intercostal space, localized and strong, is most likely experiencing:
Which of the following signs is NOT typically associated with pulmonary hypertension?
Which of the following signs is NOT typically associated with pulmonary hypertension?
What is the most likely cause of physiological palpitation?
What is the most likely cause of physiological palpitation?
Which phase of the cardiac cycle corresponds to the QRS complex on an ECG?
Which phase of the cardiac cycle corresponds to the QRS complex on an ECG?
What is the primary function of the semilunar valves during the second phase of ventricular systole?
What is the primary function of the semilunar valves during the second phase of ventricular systole?
What is the significance of the T-wave on an ECG?
What is the significance of the T-wave on an ECG?
During which phase of the cardiac cycle do the AV valves close?
During which phase of the cardiac cycle do the AV valves close?
Which valves are responsible for preventing backflow of blood from the arteries into the ventricles?
Which valves are responsible for preventing backflow of blood from the arteries into the ventricles?
What is the primary diagnostic tool for investigating congenital heart disease?
What is the primary diagnostic tool for investigating congenital heart disease?
Which of the following components is NOT present in an electrocardiogram (ECG)?
Which of the following components is NOT present in an electrocardiogram (ECG)?
Which vessel is part of the fetal circulation diagram?
Which vessel is part of the fetal circulation diagram?
What additional tests should be performed if congenital heart disease is suspected?
What additional tests should be performed if congenital heart disease is suspected?
What does the diagram of fetal circulation illustrate?
What does the diagram of fetal circulation illustrate?
What is the anatomical location for auscultating the aortic valve?
What is the anatomical location for auscultating the aortic valve?
At what location does the apex typically form in adults?
At what location does the apex typically form in adults?
In right ventricular hypertrophy (RVH), how is the apex shifted?
In right ventricular hypertrophy (RVH), how is the apex shifted?
Which statement regarding the apex in left ventricular hypertrophy (LVH) is true?
Which statement regarding the apex in left ventricular hypertrophy (LVH) is true?
For children under 4 years, where is the apex hardly located?
For children under 4 years, where is the apex hardly located?
What are the two upper chambers of the human heart called?
What are the two upper chambers of the human heart called?
Which valve is involved in pumping blood from the right ventricle to the lungs?
Which valve is involved in pumping blood from the right ventricle to the lungs?
Where does the right atrium receive blood from?
Where does the right atrium receive blood from?
How many chambers does the human heart have?
How many chambers does the human heart have?
Which of the following valves is NOT part of the heart structure?
Which of the following valves is NOT part of the heart structure?
What is the function of the mitral valve?
What is the function of the mitral valve?
Which structure receives oxygenated blood from the lungs?
Which structure receives oxygenated blood from the lungs?
Which valve is located between the left ventricle and the aorta?
Which valve is located between the left ventricle and the aorta?
What do the atrio-ventricular valves primarily do?
What do the atrio-ventricular valves primarily do?
How many cusps does the tricuspid valve have?
How many cusps does the tricuspid valve have?
What is the primary abnormality associated with pulmonary stenosis in Fallot Tetralogy?
What is the primary abnormality associated with pulmonary stenosis in Fallot Tetralogy?
Which component contributes to the central cyanosis seen in Fallot Tetralogy?
Which component contributes to the central cyanosis seen in Fallot Tetralogy?
What effects the appearance of cyanosis in infants with Fallot Tetralogy?
What effects the appearance of cyanosis in infants with Fallot Tetralogy?
Which feature of Fallot Tetralogy leads to equal pressure in the ventricles?
Which feature of Fallot Tetralogy leads to equal pressure in the ventricles?
What is a characteristic finding in the ventricular structure of patients with Fallot Tetralogy?
What is a characteristic finding in the ventricular structure of patients with Fallot Tetralogy?
What type of blood flows from the body to the heart in normal fetal circulation?
What type of blood flows from the body to the heart in normal fetal circulation?
What is a common symptom of Tetralogy of Fallot?
What is a common symptom of Tetralogy of Fallot?
What condition results from an open ductus arteriosus after birth?
What condition results from an open ductus arteriosus after birth?
Which of the following is NOT a symptom of Atrial Septal Defect (ASD)?
Which of the following is NOT a symptom of Atrial Septal Defect (ASD)?
What is the primary cause of cyanosis in cyanogenic heart defects?
What is the primary cause of cyanosis in cyanogenic heart defects?
What is the primary origin of the first heart sound "S1"?
What is the primary origin of the first heart sound "S1"?
In which condition is the first heart sound "S1" increased?
In which condition is the first heart sound "S1" increased?
Where is the second heart sound "S2" best heard?
Where is the second heart sound "S2" best heard?
What is the timing of the third heart sound "S3"?
What is the timing of the third heart sound "S3"?
How does aortic murmur intensity change with position?
How does aortic murmur intensity change with position?
Flashcards
What does the Left Atrium do?
What does the Left Atrium do?
The Left Atrium receives oxygenated blood from the lungs and pumps it through the mitral valve to the Left ventricle during late diastole.
What does the Left Ventricle do?
What does the Left Ventricle do?
The Left Ventricle pumps oxygen-rich blood to the aorta and the rest of the body.
What is the function of the Atrio-Ventricular valves?
What is the function of the Atrio-Ventricular valves?
The Atrio-Ventricular valves prevent backflow from the ventricles to the atria.
Describe the Tricuspid valve.
Describe the Tricuspid valve.
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Describe the Mitral valve.
Describe the Mitral valve.
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Right Atrium
Right Atrium
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Right Ventricle
Right Ventricle
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Tricuspid Valve
Tricuspid Valve
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Pulmonary Valve
Pulmonary Valve
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Superior and Inferior Vena Cava
Superior and Inferior Vena Cava
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What is the apex of the heart?
What is the apex of the heart?
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Which chamber of the heart forms the apex?
Which chamber of the heart forms the apex?
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Where is the normal location of the apex?
Where is the normal location of the apex?
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What does a shift of the apex outwards and downwards indicate?
What does a shift of the apex outwards and downwards indicate?
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What does a shift of the apex outwards and diffusely indicate?
What does a shift of the apex outwards and diffusely indicate?
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Hyperdynamic apex beat
Hyperdynamic apex beat
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Systolic thrill
Systolic thrill
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Downward and outward apex beat shift
Downward and outward apex beat shift
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Palpitations
Palpitations
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Heaving apex beat
Heaving apex beat
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What is the first heart sound (S1)?
What is the first heart sound (S1)?
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What is the second heart sound (S2)?
What is the second heart sound (S2)?
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What is S3?
What is S3?
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What is S4?
What is S4?
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What is a thrill in cardiology?
What is a thrill in cardiology?
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Left-to-Right Shunt Lesion
Left-to-Right Shunt Lesion
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Ventricular Septal Defect (VSD)
Ventricular Septal Defect (VSD)
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Cyanotic Heart Disease
Cyanotic Heart Disease
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Atrial Septal Defect (ASD)
Atrial Septal Defect (ASD)
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Obstructive Heart Lesions
Obstructive Heart Lesions
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Atrial Systole
Atrial Systole
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Ventricular Systole (First Phase)
Ventricular Systole (First Phase)
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Ventricular Systole (Second Phase)
Ventricular Systole (Second Phase)
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Early Ventricular Diastole
Early Ventricular Diastole
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Late Ventricular Diastole
Late Ventricular Diastole
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Echocardiography with Doppler
Echocardiography with Doppler
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ECG (Electrocardiogram)
ECG (Electrocardiogram)
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Inferior vena cava
Inferior vena cava
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Foramen ovale
Foramen ovale
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Ductus arteriosus
Ductus arteriosus
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What is Fallot Tetralogy?
What is Fallot Tetralogy?
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What is Pulmonary Stenosis in Fallot Tetralogy?
What is Pulmonary Stenosis in Fallot Tetralogy?
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What is the Ventricular Septal Defect in Fallot Tetralogy?
What is the Ventricular Septal Defect in Fallot Tetralogy?
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What is the Overriding Aorta in Fallot Tetralogy?
What is the Overriding Aorta in Fallot Tetralogy?
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What is Right Ventricular Hypertrophy in Fallot Tetralogy?
What is Right Ventricular Hypertrophy in Fallot Tetralogy?
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Fetal Circulation
Fetal Circulation
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Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)
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Cyanogenic Heart Defects
Cyanogenic Heart Defects
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Acyanotic Heart Defects
Acyanotic Heart Defects
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Study Notes
Heart Structure and Function
- The heart is a four-chambered organ: two atria (upper chambers) and two ventricles (lower chambers)
- The heart also has four valves:
- Tricuspid
- Pulmonary
- Mitral
- Aortic
Heart Valves
-
Atrioventricular (AV) Valves:
- Function: Prevent blood flowing back into the atria from the ventricles.
- Tricuspid Valve: Located between the right atrium and right ventricle. It has three cusps (leaflets): Anterior/anterosuperior, septal, and posterior/inferior.
- Mitral Valve (Bicuspid): Located between the left atrium and left ventricle. It has two cusps (leaflets): anterior/aortic and posterior/mural.
-
Semilunar Valves:
- Function: Prevent blood flowing back into the ventricles from the great vessels
- Pulmonary Semilunar Valve: Between the right ventricle and the pulmonary trunk. It has three semilunar cusps/leaflets: Anterior/non-adjacent, left/left adjacent, and right/right adjacent.
- Aortic Semilunar Valve: Between the left ventricle and the opening of the aorta. It has three semilunar cusps/leaflets: Left/left coronary valve, right/right coronary valve, and posterior/non-adjacent.
Blood Flow Through the Heart
- The right atrium receives deoxygenated blood from the body's largest veins: superior vena cava (SVC) and inferior vena cava (IVC).
- The right atrium pumps the blood through the tricuspid valve to the right ventricle.
- The right ventricle pumps the blood through the pulmonary valve to the lungs for oxygenation.
- Oxygenated blood returns to the heart via the pulmonary veins and enters the left atrium.
- The left atrium pumps the blood through the mitral valve to the left ventricle.
- The left ventricle pumps oxygen-rich blood to the aorta and the rest of the body (Cardiac output).
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