Order Congenital Heart Disease Discussion

Order Congenital Heart Disease Discussion
Order 5980213
Order Congenital Heart Disease Discussion
1 A 3-year-old patient presents to you for evaluation
secondary to a referral from his pediatrician for a
murmur. You diagnose the patient with a functional
murmur. Common characteristics of this murmur
include all of the following, except:
(A) Often described as musical or ‘‘twanging string’’
(B) Normal electrocardiogram (EKG) and chest
radiograph (CXR)
(C) Also known as a Still murmur
(D) Best heard in the upright position
(E) Usual intensity is II-III/VI
2 Which of the following statements is incorrect
regarding the sinus venosus atrial septal defect (ASD)
demonstrated in the angiogram shown?
(A) Sinus venosus defects account for<25% of ASDs
(B) Sinus venosus defects are located posterior to
the fossa ovalis
(C) Sinus venosus defect is commonly associated
with anomalous connection of the left pulmonary veins (PVs)
(D) Approximately, 50% of these patients have a
frontal P-wave axis <30 degrees
(E) The Warden procedure may be used to treat
the anomalous pulmonary venous drainage
associated with the sinus venosus defect
3 The following angiogram was performed on a patient
who had fever for 5 days, acute erythema of the palms
and soles, bilateral bulbar conjunctival injection
without an obvious exudate, a strawberry tongue,
and cervical lymphadenopathy. What is the most
likely diagnosis?
(A) Toxic shock syndrome
(B) Stevens-Johnson syndrome
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Congenital Heart Disease 245
(C) Takayasu arteritis
(D) Henoch-Schonlein purpura ¨
(E) Kawasaki disease
4 Which of the following statements regarding
Kawasaki disease is false?
(A) Coronary artery aneurysms or ectasia will
develop in approximately 15% to 25% of
untreated children with Kawasaki disease
(B) Most children in the United States diagnosed
with Kawasaki disease are older than 5 years
(C) Regressed coronary artery aneurysms are not
histopathologically normal
(D) In the United States, Kawasaki disease is the
leading cause of acquired heart disease in
children
(E) In the United States, intravenous immunoglobulin (IVIG) is recommended for all children with
Kawasaki disease
5 Congenital rubella is associated with all of the
following cardiovascular abnormalities, except:
(A) Ebstein anomaly
(B) Patent ductus arteriosus (PDA)
(C) Ventricular septal defect (VSD)
(D) Transposition of the great arteries
(E) Tricuspid atresia
6 A 6-month-old patient presents to your office for
evaluation. The mother reports that her child has
had poor weight gain, excessive sweating, and poor
feeding. You note that the record documents repeated
problems with upper respiratory tract infections.
On examination, the patient is tachycardic and
tachypneic. His pulses are bounding and a thrill is
palpable at the left upper sternal border. You obtain
a CXR. What is the most likely diagnosis?
(A) Secundum ASD
(B) Patent foramen ovale
(C) PDA
(D) Muscular VSD
(E) Branch pulmonary artery (PA) stenosis
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