Paediatric cardiology MCQ 34+

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• Unequal pulse pressure can occur in
  ক

  Coarctation of aorta

  খ

  Aortic dissection

  গ

  Patent ductus arteriosus

  ঘ

  Aortic arch syndrome

  ঙ

  Aorto-pulmonary window
• Complication of VSD
  ক

  Infective endocarditis

  খ

  Heart failure

  গ

  Reversal of shunt

  ঘ

  Cerebral abscess

  ঙ

  Cyanotic spell
• Ventricular septal defect
  ক

  Is an acyanotic congenital heart disease

  খ

  Shunt occurs from left to right side of the heart

  গ

  Is an acquired defect

  ঘ

  Comprises of 5-10% of total congenital heart defect

  ঙ

  Are two types
• Components of tetralogy of Fallot are
  ক

  Overriding of the aorta

  খ

  Ventricular septal defect

  গ

  Right ventricular outflow tract obstruction

  ঘ

  Atrial septal defect

  ঙ

  Aortic stenosis
• Cyanotic congenital heart diseases are
  ক

  Tetralogy of Fallot

  খ

  Pulmonary atresia

  গ

  Tricuspid atresia

  ঘ

  Ventricular septal defect

  ঙ

  Patent ductus arteriosus
• Congenital cyanotic heart diseases are
  ক

  Transposition of great arteries

  খ

  Tetralogy of Fallot

  গ

  Coarctation of aorta

  ঘ

  Patent ductus arteriosus

  ঙ

  Ventricular septal defect
• Following are acyanotic congenital heart disease in children
  ক

  Patent ductus arteriosus

  খ

  Atrial septal defect

  গ

  Tricuspid atresia

  ঘ

  Single ventricle

  ঙ

  Transposition of great vessels
• Acyanotic heart disease observed in
  ক

  VSD

  খ

  Endocardial cushion defect

  গ

  Truncus arteriosus

  ঘ

  Tetralogy of Fallot

  ঙ

  Single ventricle
• Acyanotic congenital heart diseases are
  ক

  Ventricular septal defect

  খ

  Patent ductus arteriosus

  গ

  Truncus arteriosus

  ঘ

  Single ventricle

  ঙ

  Transposition of great arteries
• Cause(s) of congenital heart disease with persistent cyanosis is/are
  ক

  Transposition of great vessels

  খ

  Tricuspid atresia

  গ

  Tetralogy of Fallot

  ঘ

  Patent ductus arteriosus

  ঙ

  Coarctation of aorta
• Eisenmenger syndrome
  ক

  Usually develops at second decade

  খ

  Occurs due to reversal of shunt

  গ

  In present with murmur

  ঘ

  In associated with silent precordium

  ঙ

  In associated with absence of P2
• Following are congenital heart disease that can cause Eisenmenger syndrome
  ক

  Ventricular septal defect

  খ

  Pulmonary stenosis

  গ

  Patent ductus arteriosus

  ঘ

  Atrio ventricular canal defect

  ঙ

  Coarctation of aorta
• Fetal circulation
  ক

  Right and left ventricles exist in a parallel circuit

  খ

  Pulmonary vasculature are constricted

  গ

  Umbilical artery carries deoxygenated blood

  ঘ

  Deoxygenated blood passes to right atrium

  ঙ

  Ductus venosus connect pulmonary artery with aorta
• Essential components for smooth neonatal respiratory transition are
  ক

  Clearance of foetal lung field

  খ

  Decrease in pulmonary vascular resistance

  গ

  Surfactant secretion continuation

  ঘ

  Decrease in pulmonary blood flow

  ঙ

  Decrease lungs volume
• Signs of heart failure in children are
  ক

  Tachycardia

  খ

  Gallop rhythm

  গ

  Ascites

  ঘ

  Enlarged tender liver

  ঙ

  Bilateral rhonchi
• Cardinal features of heart failure are
  ক

  Tachycardia

  খ

  Hepatomegaly

  গ

  Tachypnoea

  ঘ

  Basal crepitations of lungs

  ঙ

  Dependent oedema
• Causes of heart failure in children are
  ক

  VSD

  খ

  AGN

  গ

  TOF

  ঘ

  Myocarditis

  ঙ

  COPD
• Ejection systolic murmur is heard in
  ক

  Aortic stenosis

  খ

  Tetralogy of Fallot

  গ

  Pulmonary stenosis

  ঘ

  Mitral stenosis

  ঙ

  Fever
• Ejection systolic murmur is usually found in
  ক

  Atrial septal defect

  খ

  Pulmonary stenosis

  গ

  Aortic stenosis

  ঘ

  Patent ductus arteriosus

  ঙ

  Aortopulmonary collateral
• An ejection systolic murmur found in
  ক

  Atrial septal defect

  খ

  Tetralogy of Fallot

  গ

  Pulmonary stenosis

  ঘ

  Mitral stenosis

  ঙ

  Patent ductus arteriosus
• Cause(s) of pansystolic murmurs is/are
  ক

  Mitral regurgitation

  খ

  Tricuspid regurgitation

  গ

  Mitral stenosis

  ঘ

  Patent ductus arteriosus (PD

  ঙ

  Atrial septal defect
• Central cyanosis in infancy is an expected finding in
  ক

  Fallots tetralogy

  খ

  Persistent ductus arteriosus

  গ

  Transposition of great arteries

  ঘ

  Coarctation of aorta

  ঙ

  Atrial septal defect
• A newborn child presents with cyanosis when there is:
  ক

  Hypoplastic right ventricle

  খ

  Transpostion of great vessels

  গ

  Patent ductus arteriousus

  ঘ

  Coarctation of aorta

  ঙ

  Atrial septal defect
• Differential diagnosis of cyanosis in the newborn are
  ক

  Persistent pulmonary hypertension

  খ

  Transposition of great arteries

  গ

  Total anomalous pulmonary venous drainage

  ঘ

  Aortic arch obstruction

  ঙ

  Truncus arteriosus
• Clubbing is seen in
  ক

  Tetralogy of Fallot

  খ

  Advanced chronic liver disease

  গ

  Single ventricle

  ঘ

  Ventricular septal defect

  ঙ

  Patent ductus arteriosus (PD
• Radiological left margin of heart is formed by
  ক

  Arch of the aorta

  খ

  Pulmonary trunk

  গ

  Left auricle

  ঘ

  Left atrium

  ঙ

  Pulmonary veins