NCMA219 Week 9: Cardiovascular Problems
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Questions and Answers

What is NOT a major manifestation in the Modified Jones Criteria for diagnosis?

  • Carditis
  • Polyarthritis
  • St. Vitus Dance (correct)
  • Erythema marginatum
  • What is the hallmark sign of Kawasaki Disease?

  • Fever
  • Chest pain
  • Irritability (correct)
  • Headache
  • Which cardiac complication can arise in 20% of children with Kawasaki Disease if left untreated?

  • Pericarditis
  • Coronary artery aneurysm (correct)
  • Valvular insufficiency
  • Cardiac arrhythmia
  • Which of the following is a characteristic of the erythema marginatum rash mentioned in the text?

    <p>Has a clear center</p> Signup and view all the answers

    What is the most invasive diagnostic procedure to evaluate heart valves, function, and abnormalities?

    <p>Cardiac Catheterization</p> Signup and view all the answers

    What symptom is NOT associated with polyarthritis in the context of the Modified Jones Criteria?

    <p>Affects small joints primarily</p> Signup and view all the answers

    Which treatment option for Kawasaki Disease involves a 10-12 hour intravenous infusion?

    <p>Intravenous Immune globulin (IVIG)</p> Signup and view all the answers

    Which area of the body is NOT mentioned as a site for subcutaneous nodules in the text?

    <p>Knees</p> Signup and view all the answers

    Which of the following is a characteristic of St. Vitus Dance according to the text?

    <p>Abnormal movements of limbs</p> Signup and view all the answers

    What is the purpose of using arterial blood gases (ABG) in cardiac evaluations?

    <p>To differentiate cardiac from pulmonary pathologies</p> Signup and view all the answers

    'Changes in ECG' is associated with which major manifestation in the Modified Jones Criteria?

    <p>Carditis</p> Signup and view all the answers

    Which test provides information solely on abnormal electrical activity of the heart?

    <p>Electrocardiogram (ECG/EKG)</p> Signup and view all the answers

    Which cardiovascular problem involves an increase in pulmonary blood flow among acyanotic defects?

    <p>Atrial Septal Defect (ASD)</p> Signup and view all the answers

    Which acquired cardiovascular disorder is characterized by an inflammatory condition primarily affecting the inner lining of the heart?

    <p>Endocarditis</p> Signup and view all the answers

    Which congenital heart defect is associated with obstructive blood flow?

    <p>Ventricular Septal Defect</p> Signup and view all the answers

    What test of cardiac function involves the use of sound waves to create images of the heart's chambers, valves, and surrounding structures?

    <p>Echocardiography (2D Echo)</p> Signup and view all the answers

    Which congenital heart defect results in decreased pulmonary blood flow among the cyanotic defects?

    <p>Hypoplastic Left Heart Syndrome</p> Signup and view all the answers

    What is the term for an acquired cardiovascular disorder that results from a systemic vasculitis affecting medium-sized arteries, with a predilection for coronary arteries?

    <p>Kawasaki Disease</p> Signup and view all the answers

    Study Notes

    Diagnosis and Criteria

    • A major manifestation NOT included in the Modified Jones Criteria is "chorea."
    • The hallmark sign of Kawasaki Disease is "prolonged fever" lasting over five days.
    • Without treatment, approximately 20% of children with Kawasaki Disease can develop "coronary artery aneurysms."
    • "Erythema marginatum" rash is characterized by its "serpentine or wavy edges."

    Cardiac Evaluations

    • The most invasive diagnostic procedure for evaluating heart valves and function is "cardiac catheterization."
    • "Symptoms NOT associated with polyarthritis" include "inflammation without pain."
    • A treatment option for Kawasaki Disease involving a 10-12 hour intravenous infusion is "intravenous immunoglobulin (IVIG)."
    • The area of the body NOT mentioned for subcutaneous nodules is "the abdomen."

    Movement Disorders and Symptoms

    • Characteristics of St. Vitus Dance include "involuntary, rapid movements of the limbs."
    • The purpose of using arterial blood gases (ABG) in cardiac evaluations is to assess "oxygenation and acid-base status."

    ECG and Cardiovascular Issues

    • "Changes in ECG" are associated with "carditis," a major manifestation in the Modified Jones Criteria.
    • The test providing information solely on abnormal electrical activity of the heart is an "electrocardiogram (ECG)."

    Cardiovascular Conditions

    • An increase in pulmonary blood flow is seen in "ventricular septal defects (VSD)" among acyanotic defects.
    • The acquired cardiovascular disorder characterized by inflammation of the inner heart lining is "infective endocarditis."
    • Congenital heart defects associated with obstructive blood flow include "aortic stenosis."
    • The test utilizing sound waves to create images of the heart is an "echocardiogram."
    • A congenital heart defect resulting in decreased pulmonary blood flow among cyanotic defects is "tetralogy of Fallot."
    • An acquired cardiovascular disorder from systemic vasculitis that affects medium-sized arteries is "Kawasaki disease."

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    Description

    Learn about skin and subcutaneous tissues manifestations like nonitching macular rash and painless mobile nodules over joints and spines, as well as central nervous system issues in the context of cardiovascular problems. Explore the diagnostic approach using the Modified Jones Criteria and the major and minor manifestations associated with strep infection.

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