Buy Arterial Anomalies Essay Assignment

Buy Arterial Anomalies Essay Assignment
Buy Arterial Anomalies Essay Assignment
1. An asymptomatic 25-year-old with d-transposition of
great arteries (complete transposition of great arteries) s/p
Mustard repair at 6 months of age has the following ndings on a routine transthoracic echocardiogram: a dilated
right ventricle with moderate tricuspid regurgitation and
peak velocity of 4.5 m/s. What is the most likely interpretation of this nding?
A. Severe pulmonary arterial hypertension
B. Severe aortic stenosis
C. Expected nding in this type of a patient
D. Congenitally abnormal tricuspid valve
2. All of the following are late complications of Mustard or
Senning repair of d-transposition of great arteries except:
A. Sinus node dysfunction
B. Atrial ‡utter
C. Atrial baf‡e leak
D. Pulmonary stenosis
E. Systemic ventricular failure
Questions 3 and 4
3. Which of the following would be the least expected associated nding with the condition demonstrated in Video 36.1
and Figure 36.1?
A. Bicuspid aortic valve
B. Systemic hypertension
C. Cerebral aneurysms
D. Supraventricular tachycardia
E. Rib notching
4. Additional history reveals that the patient, whose
echocardiogram is shown in Question 3, is a 23-yearold asymptomatic male with uncontrolled hypertension.
Vital signs show right upper extremity blood pressure
of 150/90 mm Hg. His heart rate is 88 beats per minute;
cardiac exam is signicant for grade 2/6 systolic ejection
murmur loudest at the upper left sternal border. Femoral
pulses are poorly palpable. What is the best management
for this patient?
A. Start beta blockers for hypertension and see him back in
6 months.
B. EP testing for further stratication.
C. Repair with either surgery or percutaneously.
D. Balloon valvuloplasty of the bicuspid aortic valve.
5. A 20-year-old female college student was referred for
evaluation of a murmur. She reports she has never had
menstrual periods. On physical examination you nd the
following: short stature, hypertelorism, lower extremity
edema, and neck webbing. She is at risk for all of the following conditions except:
A. Coarctation of the aorta
B. Bicuspid aortic valve
C. Increased risk for aortic dissection
D. Pulmonary stenosis
E. Renal abnormalities
6. Match the following syndromes with the most common
conditions listed below:
A. Down syndrome 1. Atrioventricular canal defect
B. Williams syndrome 2. Tetralogy of Fallot
C. DiGeorge syndrome 3. Supravalvular aortic stenosis
D. Noonan syndrome 4. Pulmonary valve stenosis
Chapter 36
Arterial Anomalies
Daniela Lax
Figure 36.1
(c) 2015 Wolters Kluwer. All Rights Reserved.
310 Section VIII Congenital Heart Disease and Fetal Echocardiography
Figure 36.3
Figure 36.4
7. All of the following are commonly associated with the
diagnosis demonstrated on the images in Videos 36.2 and
36.3 except:
A. Ventricular septal defect
B. Pulmonary stenosis
C. Atrioventricular discordance
D. Ventriculoarterial concordance
E. Complete heart block
8. A 20-year-old pregnant female presents for evaluation of a
murmur. The following ow signal is recorded (Fig. 36.2).
The most likely diagnosis is:
A. Normal ow murmur of pregnancy
B. Ventricular septal defect
C. Anomalous pulmonary venous connection
D. Patent ductus arteriosus
E. Atrial septal defect
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