HCD Final Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
ASD - CORRECT ANSWER Widely fixed split S2
PDA - CORRECT ANSWER Crescendo-decrescendo holosystolic murmur with
bounding pulses
PDA - CORRECT ANSWER machinery type murmur
VSD - CORRECT ANSWER Pan systolic murmur, loudest at the left sternal border
with palpable thrill.
VSD - CORRECT ANSWER Most common congenital heart defect
pulmonic stenosis - CORRECT ANSWER What is the most common right sided
obstructive lesion
pulmonic stenosis - CORRECT ANSWER ejection click heard loudest during
expiration at the upper left sternal border
you should give them prostaglandins
(pt has coarctation of the aorta causing them to have sx stated after prostaglandins are given
to open the PDA you do a surgical repair) - CORRECT ANSWER A week old baby is
brought to you office for a check up. Upon physical exam you notice that the child has cold
extremities. You feel their pulses and their femoral pulse is absent although their radial pule is
bounding. You decide to order a chest x-ray and notice upon chest x-ray rib notching and
normal pulmonary vasculature. What is the first thing you should do for this patient? (Hint:
tx)
,aortic stenosis - CORRECT ANSWER What is the main complication of rheumatic
fever?
aortic stenosis - CORRECT ANSWER You hear a systolic thrill that is loudest at the
RUSB
VSD
Pulmonary Stenosis
Overriding Aorta
Right ventricular Hypertrophy - CORRECT ANSWER What are the four heart defects
that occur in Tetralogy of Fallot? (THIIIIIIIINNNNNKKKK)
TOF - CORRECT ANSWER On X-ray you see "boot shaped heart"
transposition of great arteries - CORRECT ANSWER On x-ray you see "egg on a
string"
truncus arteriosus - CORRECT ANSWER You are listening to a newborn baby who
looks blue in color and you hear an ejection click with a really loud S2. When you palpate
around the babies heart you feel a lift. What does this child have?
below, snowman cardiomegaly - CORRECT ANSWER If the connection is below the
diaphragm in total anomalous pulmonary venous return is it better or worse then above?
What will you see on an X-ray with this condition?
DiGeorge Syndrome - CORRECT ANSWER This is a micro deletion that is detected
by fish
DiGeorge
Cardiac defects
, Abnormal facies
Thymic/ hypoplasia
Cleft Palate
Hypocalcemia - CORRECT ANSWER What is CATCH 22 and what is it related to?
TOF
Interrupted aortic arch
VSD
Truncus arteriosus
"Try (once) to interrupt Vicky " - CORRECT ANSWER What are the cardiac defects in
DiGeorge?
williams syndrome
Hypercalcemia - CORRECT ANSWER A young child comes in and you notice that
they have puffy eyes, full wide lips and wide nose what are you thinking they have? What
electrolyte abnormality are you looking for?
yes loss is worse than a gain - CORRECT ANSWER Is loss of a chromosomal material
more dangerous than a gain?
translocation - CORRECT ANSWER A 4o year old women recently had a baby who
was diagnosed with down syndrome what is the most likely genetic cause for this genetic
abnormality?
ALL or AML
brush field spots, atlanto axial instability, extra neck folds, simian crease, tongue protrusion -
CORRECT ANSWER What type of leukemia are children with downs at risk for?
QUESTIONS AND CORRECT ANSWERS
ASD - CORRECT ANSWER Widely fixed split S2
PDA - CORRECT ANSWER Crescendo-decrescendo holosystolic murmur with
bounding pulses
PDA - CORRECT ANSWER machinery type murmur
VSD - CORRECT ANSWER Pan systolic murmur, loudest at the left sternal border
with palpable thrill.
VSD - CORRECT ANSWER Most common congenital heart defect
pulmonic stenosis - CORRECT ANSWER What is the most common right sided
obstructive lesion
pulmonic stenosis - CORRECT ANSWER ejection click heard loudest during
expiration at the upper left sternal border
you should give them prostaglandins
(pt has coarctation of the aorta causing them to have sx stated after prostaglandins are given
to open the PDA you do a surgical repair) - CORRECT ANSWER A week old baby is
brought to you office for a check up. Upon physical exam you notice that the child has cold
extremities. You feel their pulses and their femoral pulse is absent although their radial pule is
bounding. You decide to order a chest x-ray and notice upon chest x-ray rib notching and
normal pulmonary vasculature. What is the first thing you should do for this patient? (Hint:
tx)
,aortic stenosis - CORRECT ANSWER What is the main complication of rheumatic
fever?
aortic stenosis - CORRECT ANSWER You hear a systolic thrill that is loudest at the
RUSB
VSD
Pulmonary Stenosis
Overriding Aorta
Right ventricular Hypertrophy - CORRECT ANSWER What are the four heart defects
that occur in Tetralogy of Fallot? (THIIIIIIIINNNNNKKKK)
TOF - CORRECT ANSWER On X-ray you see "boot shaped heart"
transposition of great arteries - CORRECT ANSWER On x-ray you see "egg on a
string"
truncus arteriosus - CORRECT ANSWER You are listening to a newborn baby who
looks blue in color and you hear an ejection click with a really loud S2. When you palpate
around the babies heart you feel a lift. What does this child have?
below, snowman cardiomegaly - CORRECT ANSWER If the connection is below the
diaphragm in total anomalous pulmonary venous return is it better or worse then above?
What will you see on an X-ray with this condition?
DiGeorge Syndrome - CORRECT ANSWER This is a micro deletion that is detected
by fish
DiGeorge
Cardiac defects
, Abnormal facies
Thymic/ hypoplasia
Cleft Palate
Hypocalcemia - CORRECT ANSWER What is CATCH 22 and what is it related to?
TOF
Interrupted aortic arch
VSD
Truncus arteriosus
"Try (once) to interrupt Vicky " - CORRECT ANSWER What are the cardiac defects in
DiGeorge?
williams syndrome
Hypercalcemia - CORRECT ANSWER A young child comes in and you notice that
they have puffy eyes, full wide lips and wide nose what are you thinking they have? What
electrolyte abnormality are you looking for?
yes loss is worse than a gain - CORRECT ANSWER Is loss of a chromosomal material
more dangerous than a gain?
translocation - CORRECT ANSWER A 4o year old women recently had a baby who
was diagnosed with down syndrome what is the most likely genetic cause for this genetic
abnormality?
ALL or AML
brush field spots, atlanto axial instability, extra neck folds, simian crease, tongue protrusion -
CORRECT ANSWER What type of leukemia are children with downs at risk for?
