Skip to content

Home
About Us
Question Bank
Courses
Resources
- Resources – Basic
- Resources – Premium
My Account
Login
News
Contact
Start Learning
Start Learning

Congenital 6

By David Blitzer / February 4, 2023

Time limit: 0

Quiz Summary

0 of 20 Questions completed

Questions:

Information

You have already completed the quiz before. Hence you can not start it again.

Quiz is loading…

You must sign in or sign up to start the quiz.

You must first complete the following:

Results

Quiz complete. Results are being recorded.

Results

0 of 20 Questions answered correctly

Your time:

Time has elapsed

You have reached 0 of 0 point(s), (0)

Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)

Categories

Congenital Heart Surgery 0%

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Current
Review
Answered
Correct
Incorrect

Question 1 of 20

1. Question
In Tricuspid atresia (TA), which statement is incorrect?
- There is lack of communication between the RA and the RV
- It is the most common congenital lesion causing a single ventricular pathology
- Classification depends upon relationship of great arteries, presence of a VSD, and degree of pulmonary obstruction.
- An ASD is rarely present in TA
Correct

Incorrect
Question 2 of 20

2. Question
The advantage of adding a Bidirectional Glenn shunt with repair of the tricuspid valve in Ebstein’s anomaly include
- Less tension of complex tricuspid repair sutures lines
- Volume unloading of the right ventricle
- Partial biventricular repair in patients with marginal RV function
- All of the choices
Correct

Incorrect
Question 3 of 20

3. Question
Severe right atrial dilation occurs in Ebstein’s anomaly and a factor unique to this anomaly causing it is
- Severe tricuspid insufficiency
- Poor RV function
- Paradoxical motion of the atrialized part of the right ventricle
- RVOT obstruction
Correct

Incorrect
Question 4 of 20

4. Question
Most common type of VSD associated with DORV is
- Subpulmonic
- Subaortic
- Doubly committed
- Non- committed
Correct

Incorrect
Question 5 of 20

5. Question
The following is an incorrect operation for subpulmonary DORV with pulmonary stenosis.
- Arterial switch with baffle closure of the VSD to the pulmonary artery
- Rastelli operation
- Lecompte- REV procedure
- Nikaidoh operation
Correct

Incorrect
Question 6 of 20

6. Question
A mother brought her 4-month-old infant to the emergency unit. The patient was tachypneic with failure to thrive. The chest radiograph showed cardiomegaly, the ECG showed Q-wave in leads I,aVL,V5-6 with ST-segment elevation and t-wave inversion. The most likely diagnosis is:
- Anomalous origin of the left coronary artery from the pulmonary artery
- Aortopulmonary window with left ventricular failure
- Complete atrioventricular canal defect.
- Dilated cardiomyopathy with mitral valve regurgitation.
Correct

Incorrect
Question 7 of 20

7. Question
The most common type of VSD in tetralogy of Fallot is:
- Muscular
- AV canal type
- Perimembranous
- Subarterial
Correct

Incorrect
Question 8 of 20

8. Question
All of the following can increase the right-to-left shunt in tetralogy of Fallot except:
- Tachycardia
- increased preload
- loss of atrioventricular synchrony
- general anesthesia
Correct

Incorrect
Question 9 of 20

9. Question
An increase in pulmonary blood flow may be desired in which of the following:
- Ebstein’s anomaly
- Hypoplastic left heart syndrome
- Tricuspid atresia
- All of the choices
Correct

Incorrect
Question 10 of 20

10. Question
Which of the following are paired INCORRECTLY?
- Blalock-Taussig shunt – subclavian to pulmonary artery
- Central shunt – aorta to main PA
- Glenn shunt – superior vena cava to right main PA
- Sano shunt – left ventricle to PA
Correct

Incorrect
Question 11 of 20

11. Question
A 3.5 kg infant with Tricuspid Atresia has a modified BTT shunt with 4.5 mm PTFE conduit. Spo2 is 95% with BP of 90/25 mmHg. The following statement is correct: <br>
- The shunt size is adequate <br>
- The shunt is too small <br>
- The shunt is too large <br>
Correct

Incorrect
Question 12 of 20

12. Question
As compared to extra cardiac Fontan conduit, a lateral tunnel Fontan
- Can be used at a younger age
- Allows potential for growth
- Requires CPB
- All of the choices
Correct

Incorrect
Question 13 of 20

13. Question
Tricuspid atresia with normally related great vessels always has
- Increased pulmonary blood flow
- Decreased pulmonary blood
- Variable pulmonary blood flow depending primarily upon the degree of the pulmonary stenosis.
- Pulmonary blood solely dependent upon the PDA
Correct

Incorrect
Question 14 of 20

14. Question
A newborn has cyanosis. The chest x-ray shows a massive cardiomegaly with a narrow waist (pedicle) and oligemic lung fields. The left ventricular function is good on echocardiography with trace pericardial effusion. The most probable diagnosis is
- Cardiomyopathy
- ALCAPA
- Pericardial effusion
- Ebstein’s anomaly
Correct

Incorrect
Question 15 of 20

15. Question
The following type of DORV is known to develop pulmonary vascular disease early if not surgically corrected
- Subaortic DORV
- Subpulmonic DORV with pulmonary stenosis
- Subpulmonic DORV
- Non-committed DORV
Correct

Incorrect
Question 16 of 20

16. Question
Contraindications for a biventricular repair in DORV include all except
- Poor development of either ventricle
- Severe overriding of atrio-ventricular valves
- Presence of multiple VSDs
- Restrictive VSD
Correct

Incorrect
Question 17 of 20

17. Question
The following are acceptable surgical interventions to manage anomalous origin of the left coronary artery from opposite sinus of Valsalva except?
- Re-implantation to the appropriate sinus with neo-ostium formation
- Coronary artery bypass grafting
- Patch enlargement of the anomalous coronary origin.
- Unroofing of the intramural segment of the coronary artery
- Takeuchi procedure
Correct

Incorrect
Question 18 of 20

18. Question
When comparing anomalous origin of the right coronary artery (RCA) from opposite sinus of Valsalva to anomalous origin of the left coronary artery (ALCA) from opposite sinus of Valsalva, which is true?
- Anomalous origin of RCA is more common than ALCA but less likely to result in sudden death.
- Anomalous origin of RCA is less common than ALCA and less likely to result in sudden death.
- Anomalous origin of RCA is more common than ALCA and more likely to result in sudden death
- Anomalous origin of RCA is less common than ALCA but more likely to result in sudden death
- Anomalous origin of RCA is as common as ALCA and as likely to result in sudden death
Correct

Incorrect
Question 19 of 20

19. Question
What would be a good screening tool for anomalous origin of the left coronary artery from the pulmonary artery?
- ECG at birth
- Perinatal echocardiography
- Selective coronary angiography at presentation
- Cardiac MRA
- CT aortogram
Correct

Incorrect
Question 20 of 20

20. Question
With respect to surgical planning for tetralogy of Fallot, transthoracic echocardiography can provide all of the following information except:
- main coronary artery branching pattern
- presence or absence of accessory pulmonary circulation
- presence or absence of additional cardiac defects
- extent of the RVOT obstruction
Correct

Incorrect

Copyright © 2024 TSRA

Powered by TSRA

error: Content is protected!

Login

Accessing this course requires a login. Please enter your credentials below!

Username or Email Address

Password

Remember Me

Lost Your Password?

Register

Don't have an account? Register one!

Register an Account