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Pre test of congenital heart disease

Total questions: 10

Worksheet time: 8mins

Name
Class
Date
1.

When examining an infant, the best place to look for the cyanosis of a physiologic R->L intracardiac shunt is the

a)

 nail beds. 

b)

lips.

c)

tongue.

d)

skin.

2.

In a preoperative patient with tetralogy of Fallot, the best indicator of the magnitude of the average, chronic R->L shunt is the

a)

arterial pO2

b)

pulmonary blood flow at catheterization.

c)

hematocrit. 

d)

loudness and length of the systolic murmur.

3.

Congenital heart disease complicates what percentage of all live births ?

a)

1%

b)

2%

c)

3%

d)

4%

4.

ASD occurs in the basal portion of the interventricular septum in which of the following ?     

a)

Sinus venosus ASD

b)

Ostium primum ASD

c)

Ostium secundum ASD

d)

Patent foramen ovale

5.

Which of the following ASD type is associated with anomalous pulmonary venous connection ? 

a)

Sinus venosus ASD

b)

Ostium primum ASD

c)

Ostium secundum ASD

d)

Patent foramen ovale

6.

Which of the following ASD is more common in Down syndrome

 

a)

Sinus venosus ASD

b)

Ostium primum ASD

c)

Ostium secundum ASD

d)

Patent foramen ovale

7.

Which of the following is a consequence of chronic hypoxemia in cyanotic CHD ?  

a)

Secondary erythrocytosis

b)

Abnormal hemostasis

c)

Hyperviscosity

d)

All the above

8.

Nitric oxide dilates pulmonary vascular beds via:

a)

Production of cyclic adenosine monophosphate (cAMP)

b)

Inhibition of cAMP

c)

Production of cyclic guanosine monophosphate (cGMP)

d)

Inhibition of cGMP

9.

Examples of congenital cardiac lesions in which cyanosis develops as a result of obstruction to pulmonary flow include:

a)

Patent ductus arteriosus

b)

Ventricular septal defect

c)

Coarctation of the aorta

d)

Tetralogy of Fallot

10.

Regarding transposition of the great arteries TGA

a)

TGA refers to spectrum of conditions of discordant VA connection.

b)

d-TGA is a rare congenital cardiac lesion and account 1% of defects.

c)

The outcome of d-TGA is poor,with patients expecting to lead near-normal lives.

d)

All the above