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5. Cardiovascular Diseases in Children
Terms in this set (27)
The most common congenital cardinal malformations are
Left to right shunts
A defect located at the level of the fossa oval is is known as ?
Atrial septal defect
An atrial septal defect is due to what?
Incompletely closed ostium secundum due to septum secundum being shorter than it needs to be
T/F: clinical manifestations of atrial septal defects can be seen in early childhood.
FALSE: they're delayed until adult life!
What are the clinical manifestations of atrial septal defects?
Cyanosis LATE & Pulmonary hypertension
The most common cardiac anomaly at birth is
ventricular septal defect
T/F: ventricular septal defects can vary in size, and the size determines what happens
Which of the following is FALSE regarding LARGE ventricular septal defects?
A. Involves the muscular wall and can lead to pulmonary hypertension
B. Associated with an increased risk of infective endocarditis so requires premedication for dental procedures
C. Can be associated with tetralogy of fallot
D. May eventually lead to right-sided heart failure and late cyanosis can occur
E. May close spontaneously
E. May close spontaneously- absolutely not.
Which condition produces a harsh, machinery-like murmur?
Patent ductus arteriosus
T/F: in right-to-left shunts, patients are cyanotic at birth.
Which of the following is NOT a clinical sign and symptom of severe cyanosis?
B. Clubbing of tips of fingers and toes
C. Hypertrophic osteoarthropathy
E. Paradoxical embolization
The most common cause of cyanotic congenital heart disease is
Tetralogy of fallot
All of the following features can be found in tetralogy of fallot EXCEPT:
A. Ventricular septal defect (VSD)
B. Displacement of the aorta by the VSD - "overriding aorta"
C. Left ventricular hyperplasia
D. Right ventricular outflow tract obstruction (stenosis)
E. right ventricular hypertrophy
C. Left ventricular hyperplasia
T/F: in tetralogy of fallot, the heart is boot-shaped and undersized.
FALSO. It IS boot-shaped, but it's ENLARGED.
Aortic stenosis can be present with what symptom?
Systolic murmur with thrill
Coarctation of the aorta can be associated with what 2 syndromes?
Turner syndrome and patent ductus arteriosus
What are the 2 forms of coarctation of the aorta?
Infantile and adult
Infantile coarctation is (preductal, postductal)
Adult coarctation is (preductal, postductal)
Right ventricular hypertrophy occurs in which form of coarctation? Left ventricular hypertrophy occurs in which form?
Which form of coarctation is more common?
Aortic arch and branch vessels are dilated in which form of coarctation?
Segment of left sublavian and ductus arteriosus is affected in which form of coarcatation?
The main cause of morbidity in rheumatic fever is?
Chronic scarring of valves
How is rheumatic fever diagnosed?
The classic lesion found in rheumatic fever is
Which of the following comprises Aschoff bodies? SATA
A. Anitschkow myocytes
B. Chronic inflammatory cells
E. Fragmented collagen and fibrinoid material
A, B, C, E
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