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CMN 574 Hay CV Exam Questions And 100% Correct Answers
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CMN 574 Hay CV Exam Questions And 100%Correct Answers
What is the 1st line treatment of HF in kids? - Answer ACE; followed by diuretics, with
posdible use of BB or Dig, and fluid restriction
What is atrial septal defect (ASD)? - Answer An opening in the atrial septum allowing the
shunting of blood b/t the atria
What murmur is associated with ASD? - Answer Ejection-type systolic murmur at LSB in
2nd ICS
T/F
Most infants and children with ASD have no cardiac symptoms - Answer T; defect goes
unnoticed until middle/late adulthood
When does spontaneous closure occur of the ASD? - Answer Most frequently in children
when defect is <4 mm in diameter; outpt f/u needed
What is the most common congenital heart malformation? - Answer Ventricular septal
defect (VSD)
T/F
50% of small VSD will close by age 2 and 90% will close by age 6 - Answer T
Clinical features of VSD include____ - Answer Failure to thrive, frequent respiratory
infections; diaphoresis, dyspnea, and fatigue
, What murmur would you hear for VSD? - Answer Harsh pansystolic murmur at LSB
3rd/4th ICS
How do you manage VSD? - Answer Medical: HF treatment
Surgical
Atrioventricular septal defect is common in infants with ______ - Answer Down syndrome
What are the s/s of AVSD? - Answer Failure to thrive, tachypnea, diaphoresis w/ feeding;
loud S2, left and right cardiac enlargement; possible diastolic murmur to lower LSB
What is the treatment? - Answer Surgery
What is patent ductus arteriosus? - Answer The persistence of the normal fetal vessel
joining the pulmonary artery to the aorta
Is there a murmur present in PDA? If so, what kind? - Answer Yes; a machine like
murmur at 2nd left ICS; crescendo/decrescendo after S1; radiates to anterior lung fields
When is surgery indicated? - Answer When PDA is large and patient is small
What is used to close the PDA in premature infant? - Answer Indomethacin
What is coarctation of the aorta? - Answer The narrowing of the aortic arch; many
affected females have Turner syndrome
What are the s/s? - Answer Diminished/absent pulses in legs; diagnosed by pulse and BP
>15mm hg difference b/t arms and legs
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