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Transcript
Congenital heart diseases
Simple complement
1. The most frequently found congenital heart disease (CHD) in premature new-borns is:
A. Atrial septal defect
B. Ventricular septal defect
C. Patent ductus arteriosus
D. Coarctation of the aorta
E. Tetralogy of Fallot
2. CHD with left-right shunt are the follows, except:
A. Ventricular septal defect (VSD)
B. Atrial septal defect (ASD)
C. Tetralogy of Fallot
D. Atrioventricular septal defect
E. Patent ductus arteriosus
3. CHD with decreased pulmonary flow is:
A. ASD
B. Tetralogy of Fallot
C. VSD
D. Atrioventricular channel
E. Aortopulmonary window
4. Classification of interventricular septal defects includes the following types, except:
A. Infundibular
B. Muscular
C. Infantile
D. Atrioventricular (subaortal) channel type
E. Perimembranous
5. The optimal age of surgical closing of large interventricular septal defect is:
A. About 5 years
B. Until 1 year
C. 3 years
D. 15 years
E. After 5 years
6. In the ductodependent CHD the maintaining of open arterial channel is performing through the
administration of:
A. Indometacin
B. Prostaglandin E
C. Immunoglobulin
D. Ibuprofen
E. Oxygen therapy
7. The frequent clinical signs of chronic hypoxia in Tetralogy of Fallot are the follows, except:
A. Digital hyppocratism
B. Polyglobulia
C. Cerebral abscess
D. Leucocytosis
E. Hypoxic accesses
8. The major surgical indication for correction in aortic stenosis in children is:
A. Appearance of clinical manifestations
B. The value of transvalvular pressure gradient more than 70 mm Hg
C. Right ventricle hypertrophy
D. Considerable poststenotic dilation
E. Diastolic murmur
9. The golden standard in CHD diagnosis is:
A. Electrocardiography
B. Cardiopulmonary radiography
C. Bidimensional Doppler echocardiography
D. CT scan
E. Coronarography
10. Which is the obligatory postoperatory procedure in children having syntetic prostheses:
A. Prophylaxis of infectious endocarditis during all life
B. Anticoagulant treatment under the coagulation control one time per month
C. Cardiac catheterism one time in 6 months
D. Control of coagulation one time in 2 weeks during all life
E. Obligatory hemoculture one time in 3 months
Multiple complement
1. For tetralogy of Fallot are characteristic the following anatomic anomalies:
A. Ventricular septal defect
B. Pulmonary stenosis
C. Atrial septal defect
D. Right ventricle hypertrophy
E. Dextrapozition of aorta
2. The characteristic clinical signs in the interventricular septal defect with large shunt are:
A. Dyspnea
B. Difficulties of alimentation
C. Diastolic murmur
D. Nutritional deficit
E. Recurrent respiratory infections
3. Which type of CHD are considering vascular malformations?
A. Ebstein anomaly
B. Coarctaion of the aorta
C. Anomalies of coronarian arteries
D. Anomaly of aortic arch
E. Unique ventricle
4. The clinical evolution of interventricular septal defect depends by:
A. Dimensions of defect
B. Speed of interventricular shunt
C. Localization of defect
D. Pressure in pulmonary artery
E. Thickness of left ventricle wall
5. The echocardiographic criteria in complete atrioventricular channel are:
A. Atrial septal defect by ostium primum type
B. Ventricular septal defect with high localization
C. Pulmonary artery stenosis
D. Unique atrioventricular valve
E. Muscular ventricular septal defect
6. Cyanotic CHDs are:
A. Unique ventricle
B. Common arterial trunk
C. Transposition of great vessels
D. Ventricular septal defect
E. Patent ductus arteriosus
7. The clinical aspects in coarctation of the aorta by postductal (adult) type are:
A. Arterial pressure on inferior members less than on superior members
B. Diffuse cyanosis
C. Systemic arterial hypertension
D. Diminished pulse on inferior members
E. Blood pressure on inferior members more than on superior members
8. The cyanotic CHDs with hypervascularization in pulmonary circulation are:
A. Tetralogy of Fallot
B. Not corrected transposition of great vessels (D-transposition)
C. Atrial septal defect
D. Total anomaly of pulmonary venous return
E. Patent ductus arteriosus
9. The postsurgical complications in CHD with left-right shunt are:
A. Disorders of cardiac rhythm and conductibility
B. Frequent respiratory infections
C. Residual shunts
D. Bacterial endocarditis
E. Intestinal hemorrhages
10. Interatrial small septal defect is characterized by:
A. Continuous murmur on aorta
B. Asymptomatic
C. Discrete systolic murmur with auscultative maximum on heart basis
D. Splitting of II sound
E. Dyspnea on effort