Patent Ductus Arteriosus (PDA) Clinical Features and Diagnosis

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Questions and Answers

What is a common clinical feature of right-sided heart failure in congenital heart diseases?

  • Cold extremities and leg fatigue
  • Underdeveloped upper extremities
  • Loud P2 on auscultation (correct)
  • Cyanosis in the early stages

Which diagnostic finding is typically associated with coarctation of the aorta?

  • Dilated right ventricle on echocardiogram
  • Notching of the ribs on chest X-ray (correct)
  • Continuous 'machinery murmur' on auscultation
  • Calcifications of the ductus arteriosus on chest X-ray

Which complication is associated with untreated coarctation of the aorta?

  • Rupture of cerebral aneurysms (correct)
  • Reversal of blood flow (Eisenmenger syndrome)
  • Lower-extremity clubbing
  • Pulmonary hypertension

What is the test of choice for diagnosing an atrial septal defect (ASD)?

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

Which condition is characterized by very high pulmonary vascular resistance (PVR) leading to symptoms like shortness of breath, dyspnea on exertion, and cyanosis?

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

What is the primary treatment approach for symptomatic aneurysms of any size or asymptomatic aneurysms ≥5.5 cm?

<p>Surgical repair with stent placement (A)</p> Signup and view all the answers

Which symptom is typically seen in patients with atrial septal defect?

<p>Exercise intolerance (D)</p> Signup and view all the answers

What is a serious complication associated with Eisenmenger disease?

<p>Irreversible pulmonary hypertension (A)</p> Signup and view all the answers

What diagnostic tool is considered most effective for confirming congenital heart diseases?

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

Which ECG findings are associated with congenital heart diseases?

<p>Right bundle branch block and right axis deviation (D)</p> Signup and view all the answers

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