CMN 574 Unit 2 Exam Questions And 100%
Correct Answers
What should all children born with Trisomy 21 receive? What structural cardiac lesions
are associated with downs syndrome?
An echo
40% of the babies are born with a structural cardiac lesion
Atrial ventricle septal defect
ventricular septal defect
patent ductus arteriosus
subcl artery
What cardiac abnormalities is associated with marfans?
aortic/mitral valve regurgitation
What cardiac abnormality is associated with turners syndrome?
coarctation of the aorta
What cardiac abnormalities is associated with noonan?
pulmonary stenosis
Atrial septal defect
cardiomyopathy
What cardiac abnormalities is associated with fetal alcohol syndrome?
Ventricle septal defect
What are the 4 abnormalities associated with tetralogy of fallot?
Ventricle septal defect
Stenosis of pulmonary valve
,Misplacement of aorta
Right ventricle hypertrophy
What physical exam finding is associated with coarctation of the aorta?
Discrepancy between the upper and lower extremities
Higher in the uppers than the lowers
Absent femoral pulses
What physical exam finding is associated with supraventricular aortic stenosis?
Higher blood pressure in the right arm than the left arm
What physical exam finding is associated with aortic valve stenosis?
Narrow pulse pressure
(the systolic and diastolic numbers are not far apart ex. 90/73 less than 29 mmhg)
What physical exam finding is associated with aortic regurgitation of aortic
insufficiency?
Wide pulse pressure
(the systolic and diastolic numbers are far apart ex. 120/64 standard pulse pressure is
around 40 mmhg)
What is a newborn heart murmur?
hearing in the first few days of life
hearing at the left lower sternal boarder
short systolic
grade II-III/VI
innocent heart murmur
, What is a still heart murmur?
most common innocent murmur of childhood
hearing between 2-7 years of age
musical or vibratory
short early systolic murmur loud midway between the apex and left sternal border
loudest when patient is supine
grade: I-III/VI
innocent heart murmur
What is a pulmonary ejection heart murmur?
most common murmur in older children and adults
beginning at 3 years of age and older, can be heard
soft systolic ejection murmur best heard at left upper sternal border
grade: I-II/VI
innocent heart murmur
What is a venous hum heart murmur?
can be heard after 2 years of age
located at right infraclavicular area
continuous musical hum
best heard in the sitting position
grade: I-III/VI
innocent heart murmur
What is a carotid bruit heart murmur?
heard in older children & adolescents
long systolic ejection murmur best heard in the supraclavicular area
grade: II-III/VI
Correct Answers
What should all children born with Trisomy 21 receive? What structural cardiac lesions
are associated with downs syndrome?
An echo
40% of the babies are born with a structural cardiac lesion
Atrial ventricle septal defect
ventricular septal defect
patent ductus arteriosus
subcl artery
What cardiac abnormalities is associated with marfans?
aortic/mitral valve regurgitation
What cardiac abnormality is associated with turners syndrome?
coarctation of the aorta
What cardiac abnormalities is associated with noonan?
pulmonary stenosis
Atrial septal defect
cardiomyopathy
What cardiac abnormalities is associated with fetal alcohol syndrome?
Ventricle septal defect
What are the 4 abnormalities associated with tetralogy of fallot?
Ventricle septal defect
Stenosis of pulmonary valve
,Misplacement of aorta
Right ventricle hypertrophy
What physical exam finding is associated with coarctation of the aorta?
Discrepancy between the upper and lower extremities
Higher in the uppers than the lowers
Absent femoral pulses
What physical exam finding is associated with supraventricular aortic stenosis?
Higher blood pressure in the right arm than the left arm
What physical exam finding is associated with aortic valve stenosis?
Narrow pulse pressure
(the systolic and diastolic numbers are not far apart ex. 90/73 less than 29 mmhg)
What physical exam finding is associated with aortic regurgitation of aortic
insufficiency?
Wide pulse pressure
(the systolic and diastolic numbers are far apart ex. 120/64 standard pulse pressure is
around 40 mmhg)
What is a newborn heart murmur?
hearing in the first few days of life
hearing at the left lower sternal boarder
short systolic
grade II-III/VI
innocent heart murmur
, What is a still heart murmur?
most common innocent murmur of childhood
hearing between 2-7 years of age
musical or vibratory
short early systolic murmur loud midway between the apex and left sternal border
loudest when patient is supine
grade: I-III/VI
innocent heart murmur
What is a pulmonary ejection heart murmur?
most common murmur in older children and adults
beginning at 3 years of age and older, can be heard
soft systolic ejection murmur best heard at left upper sternal border
grade: I-II/VI
innocent heart murmur
What is a venous hum heart murmur?
can be heard after 2 years of age
located at right infraclavicular area
continuous musical hum
best heard in the sitting position
grade: I-III/VI
innocent heart murmur
What is a carotid bruit heart murmur?
heard in older children & adolescents
long systolic ejection murmur best heard in the supraclavicular area
grade: II-III/VI