Course: Pediatrics Clerkship Topic: Pediatric Cardiology
Question 1
Select the single best answer to the numbered question.
Patients with Kawasaki's disease:
A. Must receive aspirin for the rest of their lives
B. Often experience relapses
C. Most develop coronary artery aneurysms
D. Are usually less than 4 years old
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Question 2
Select the single best answer to the numbered question.
This EKG of a neonate is interpreted as:
A. Normal for age
B. Sinus tachycardia
C. Right ventricular hypertrophy
D. Left ventricular hypertrophy
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Question 3
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This EKG of a six year old is interpreted as:
A. Normal for age
B. Left axis deviation
C. Left ventricular hypertrophy
D. Consistent with an atrial septal defect
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Question 4
Select the single best answer to the numbered question.
This EKG of a six year old is interpreted as:
A. Pre-excitation
B. Right ventricular hypertrophy
C. Short PR interval
D. Left axis deviation
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Question 5
Select the single best answer to the numbered question.
Bacterial endocarditis prophylaxis is required for:
A. Atrial septal defects
B. Closure of skin lacerations
C. All patients with a history of rheumatic fever
D. Patients with prosthetic valves
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Question 6
Select the single best answer to the numbered question.
Your patient with long QT syndrome has the physical finding of otitis media, which antibiotic should be avoided as it can prolong the QT interval:
A. Cephalexin
B. Amoxicillin
C. Trimethaprim/Sulfa
D. Cefaclor
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Question 7
Select the single best answer to the numbered question.
Your patient with a prosthetic mitral valve and coumadin anticoagulation is receiving a second two week course of antibiotics for recurrent otitis media. You follow his INR closely because:
A. Illnesses can decrease the effectiveness of coumadin and decrease the INR
B. Coumadin absorption is inhibited by amoxicillin and decreases the INR
C. Coumadin half-life is increased by cephalosporins and increases the INR
D. Antibiotics reduce the gut bacterial flora, decreasing vitamin K levels and increases the INR
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Question 8
Select the single best answer to the numbered question.
The parent of a child with congenital heart disease asks you what are the chances she will have a second child with heart disease. You say the risk is:
A. 1%
B. 2%
C. 5%
D. 12%
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Question 9
Select the single best answer to the numbered question.
The physical signs of Kawasaki's disease are:
I. Red cracked lips
II. Red and peeling palms and finger
III. Cervical lymphadenitis
IV. Rash
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 10
Select the single best answer to the numbered question.
Kawasaki's disease is treated with:
I. Aspirin
II. High dose steriods
III. Gamma Globulin
IV. Antiobitic
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 11
Select the single best answer to the numbered question.
Cardio-vascular manifestations of Kawasaki's disease include:
I. Myocarditis
II. Coronary artery aneurysms
III. Pericardial effusion
IV. Peripheral artery involvement
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 12
Select the single best answer to the numbered question.
The differential diagnosis of chest pain in a child includes:
I. Musculoskeletal
II. Supraventricular tachycardia
III. Asthma
IV. Pericarditis
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 13
Select the single best answer to the numbered question.
Acute treatment of supraventricular tachycardia includes:
I. Vagal maneuver
II. Adenosine
III. Electrical cardioversion
IV. Lidocaine
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 14
Select the single best answer to the numbered question.
Dehydration in a child with tetralogy of Fallot can result in:
I. Increased cyanosis
II. Decreased cyanosis
III. hypercyanotic episode
IV. Ventricular tachycardia
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 15
Select the single best answer to the numbered question.
A 12 hour old infant with respiratory distress and cyanosis has the following chest xray, the differential diagnosis includes:
I. Total anomalous pulmonary venous return
II. Tetralogy of Fallot
III. Pneumonia
IV. Tricuspid atresia
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 16
Select the single best answer to the numbered question.
An 8 year old passes out at school while running the timed mile during PE class. You order an EKG to rule out:
I. Supraventricular tachycardia
II. Hypertrophic obstructive cardiomyopathy
III. Long QT syndrome
IV. Wandering atrial pacemaker
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 17
Select the single best answer to the numbered question.
A mother brings her baby with tetralogy of Fallot into your office because of poor feeding and is cyanotic and listless after a prolonged crying spell. You treat the hypercyanotic episode acutely by:
I. Using the knee chest position
II. Use the sternal rub to stimulate breathing
III. Supplemental oxygen
IV. Draw blood for cultures and a CBC
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 18
Select the single best answer to the numbered question.
You suspect your patient has a atrial septal defect because of a:
I. Mildly enlarged cardiac silouhette on chest xray
II. rsR' pattern in V I of the EKG
III. A 2/6 systolic ejection murmur at the left upper sternal border
IV. A fixed split of the second and third heart sounds
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 19
Select the single best answer to the numbered question.
You have a teenage patient with a documented strep throat infection four weeks before and now has physical finding consistent with rheumatic fever. The Jones major criteria include:
I. Carditis
II. Fever
III. Polyarthritis
IV. Increased ASO titer
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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Question 20
Select the single best answer to the numbered question.
You attend the delivery of a baby by c-section and identify the presence of a 2/6 systolic murmur. The differential diagnosis includes:
I. Pulmonary stenosis
II. Ventricular septal defect
III. Aortic stenosis
IV. Patent ductus arteriosus
A. I.& III.
B. II. & IV.
C. I., II. & III.
D. All of the above
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