Congenital 1

1. What of the following congenital heart defects would have a Qp:Qs <1?

2. A 12-year-old girl underwent percutaneous closure of a secundum ASD. One month later, she presents to the ED with acute onset chest pain and syncope. In the emergency room, she was noted to be hypotensive and bedside echocardiography revealed large pericardial effusion. The effusion was aspirated and her blood pressure stabilized. What is the most appropriate next step?

3. 3-year-old boy is undergoing closure of a sinus venosus ASD. Upon redirecting the pulmonary flow to the LA with a patch, the anesthesiologist notes the central venous pressure to be 30 mmHg. Direct measurement of RA pressure shows it to be 7 mm Hg. TEE reveals turbulent flow in the SVC with patent pulmonary venous flow. What is the most appropriate next step?

4. A 3.5 kg infant with Tricuspid Atresia has a modified BT shunt with 4.5 mm PTFE conduit. Spo2 is 95% with BP of 90/25 mmHg. The following stateme…

5. What amount of “step-up” between right atrial to pulmonary artery oxygen saturation would indicate the possibility of residual ventricular level shunting?

6. All these conditions can be current indications for Pulmonary artery banding except in:

7. A 11-month-old infant received a palliative operation followed by a corrective cardiac surgery early in life. Current echocardiogram reveals pulmonary artery stenosis and echogenicity suggestive of PA scarring. The most likely palliative operation patient received is:

8. An oxygen saturation of 80-85% is most likely to be seen after which stage of single ventricle palliation?

9. An oxygen saturation of 80-85% is most likely to be seen after which stage of single ventricle palliation?

10. Which of the following is a ductal dependent cardiac abnormality?

11. What is not characteristic of Eisenmenger syndrome?

12. All of the following are characteristics of Eisenmenger syndrome EXCEPT

13. Common causes of mediastinitis after pediatric cardiac surgery cases include all of the following except:

14. Which of the following vitals corresponds to that of a neonate:

15. All of the following are true of neonatal and infant physiology except:

16. In neonates, postoperative urine output that would indicate adequate renal function is:

17. Which is the disadvantage of stenting the PDA versus surgical shunt creation includes?

18. The Triangle of Koch is formed by

19. Which answer best describes the response of CO2 to a patient’s temperature?

20. What is a normal physiologic cardiac alteration during the fetal-neonatal transition?