14530758
Descripción
Fichas por Averil Tam, actualizado hace más de 1 año
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Creado por Averil Tam
hace más de 6 años
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| Pregunta | Respuesta |
| 1. TRUE/FALSE? A. Heart disease in the newborn usually presents with either heart failure or cyanosis. | True. Heart disease in the newborn usually presents with either heart failure or cyanosis (resulting from obstruction to blood flow or problems with mixing of oxygenated and deoxygenated blood). |
| 1. TRUE/FALSE? B. The action of prostaglandin is to assist in closing a patent ductus arteriosus. | False. Prostaglandin assists in keeping open the ductus. |
| 1. TRUE/FALSE? C. Hypercalcaemia commonly occurs in Velocardiofacial Syndrome (VCFS). | False. In Velocardiofacial Syndrome, hypocalcaemia occurs commonly due to hypoparathyroidism. |
| 1. TRUE/FALSE? D. Oxygen should not be administered when the patient’s wellbeing is dependent on high pulmonary resistance. | True. Oxygen will lower the pulmonary vascular resistence, possibly worsening the clinical situation. |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. A. Tachypnoea | True |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. B. Tachycardia | True |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. C. Dyspnoea/increased work of breathing | True |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. D. Poor feeding | True |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. E. Hepatomegaly | True |
| 2. TRUE/FALSE - these are symptoms and signs of heart failure in the newborn. F. Late signs include poor perfusion and circulatory collapse | True |
| 3. TRUE/FALSE? A. Transposition of the great vessels requires mixing of oxygenated with deoxygenated blood for survival. | True. In the neonatal transposition of the great vessels (aorta arising from right ventricle, pulmonary artery arising from left ventricle), babies depend on patency of the foramen and duct to maintain oxygenation blood. This requires urgent cardiology consult. Mortality in this group of babies is 5%. |
| 3. TRUE/FALSE? B. If a baby is cyanosed in the first week of life, it requires urgent, usually inpatient referral. | True. Cyanosis in the first week of life requires urgent hospitalization and management by a pediatric cardiologist. Administration of prostaglandin is required to keep duct open in a duct-dependant lesion. |
| 3. TRUE/FALSE? C. Anatomically, a coarctation of the aorta usually occurs distal to the subclavian artery. | True. Coarctation of the aorta usually (but, not always) occurs distal to the left subclavian artery – hence measured differences between arm and leg blood pressures. It is best to measure the BP from the right arm because sometimes the coarctation can arise proximal to the left subclavian artery. |
| 3. TRUE/FALSE? D. Tetralogy of Fallot usually presents as heart failure in the newborn. | False. Tetralogy of Fallot more often causes cyanosis rather than heart failure, with gradually increasing right ventricular outflow obstruction. It may take weeks or months for the cyanosis to develop. |
| TRUE/FALSE? A. The majority of neonates with SVT will go on to have episodes of SVT through childhood. | False. 60-70% resolved by 12 months of age. If no further episodes, cease the antiarrhythmic at 6-12 months. |
| TRUE/FALSE? B. Long QT syndrome is inherited in an autosomal recessive manner. | False. Autosomal dominant inheritance. |
| TRUE/FALSE? C. Long QT syndrome can cause SVT. | False. Increased risk of VT and VF with sudden death. |
| TRUE/FALSE? D. Adenosine is administered to neonates with long QT syndrome. | False. Adenosine is administered for SVT. Give beta blockers for long QT syndrome. |
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