Deck 11: Acyanotic Heart Defects

Question 1

Atrial septal defects are one of the most quickly diagnosed Congenital heart diseases.

Answer 1

False

Question 2

A registered respiratory therapist should include which of the following treatments in the care and management of a postoperative patient with an atrial septal defect
I)Albuterol
II)Hyperventilation
III)Chest physiotherapy
IV)Noninvasive ventilation
V)Supplemental oxygen

A)I and III
B)II and IV
C)IV and V
D)II and IV

Answer 2

C

Question 3

A patient with atrioventricular septal defect would present with which of the following characteristics
I)Rapid weight gain
II)Diaphoresis while feeding
III)Noneventful feeding episodes
IV)Fatigue

A)I, III, and IV
B)II, III, and IV
C)II and IV
D)I and III

Answer 3

C

Question 4

A patient who presents with decreased femoral pulses, brachiofemoral delay, and Continuous flow murmur suggest:

A)Aortic stenosis
B)Atrial septal defect
C)Coarctation of the aorta
D)Double aortic arch

Question 5

What percentage of ventricular septal defects close in the first 2 years of life

A)25%
B)33%
C)50%
D)75%

Question 6

Successful atrial septal defect closure has excellent long-term outComes.

Question 7

What does a registered respiratory therapist need to be vigilant in assessing once a patient is given prostaglandin therapy
I)Apneas of greater than 20 seConds
II)Tachypnea
III)Bradycardia
IV)Desaturations
V)Peripheral edema
VI)Hypotension

A)III, IV, V, and VI
B)I, III, IV, and V
C)II, IV, V, and VI
D)I, II, III, and IV

Question 8

Bicuspid aortic valve is the most Common cause of aortic stenosis.

Question 9

Patients with which of the following genetic syndromes have an increased prevalence of Coarctation of the aorta
I)Trisomy 13
II)Turner syndrome.
III)DiGeorge syndrome
IV)Down syndrome

A)II and IV
B)II and III
C)I and II
D)I and IV

Question 10

What are some clinical symptoms of a moderate-to-large ventricular septal defect, specifically nonrestrictive left-to-right shunting
I)Tachycardia
II)Tachypnea
III)Accessory muscle use
IV)Failure to thrive
V)Diaphoresis
VI)Cyanosis
VII)Poor feeding

A)I, III, V, and VII
B)I, II, III, and VI
C)IV, V, VI, and VII
D)II, IV, V, and VII

Question 11

An atrial septal defect that persists beyond 2 years of age or is larger than 6 mm requires surgical closure prior to the child starting school.Indications for earlier closure Consists of which of the following
I)History of arrhythmia
II)Evidence of pulmonary hypotension
III)Risk of paradoxical embolus
IV)Symptoms of heart failure

A)I, II, and IV
B)I, III, and IV
C)II and III
D)I and IV

Question 12

Treatment for ventricular septal defect should Consist of all of the following except:

A)Digoxin
B)Inotropes
C)IV fluids
D)ACE inhibitors
E)High caloric nutrition

Question 13

A patient with an atrial septal defect presents with which of the following initial symptoms
I)Exercise-induced dyspnea
II)Ventricular tachycardia
III)Atrial fibrillation
IV)Exercise-induced fatigue
V)Atrial flutter

A)I, III, and V
B)II, IV, and V
C)I, III, IV, and V
D)I, II, III, IV, and V

Question 14

Atrioventricular septal defect is especially Common in children with what syndrome

A)Turner's syndrome
B)Trisomy 21
C)Spinal bifida
D)Cushing's syndrome

Question 15

What is the most Common Congenital cardiac defect

A)Atrial septal defect
B)Ventricular septal defect
C)Atrioventricular septal defect
D)Aortic stenosis

Question 16

What diagnostic tools are used to identify cardiac defects
I)Chest radiograph
II)EKG
III)Arterial blood gas testing
IV)CT scan
V)Echocardiogram
VI)MRI

A)I, III, and VI
B)II, IV, and V
C)I, II, and V
D)III, IV, and VI

Question 17

Septum secundum is defined as:

A)A thin layer of tissue Connected to the endocardial cushions
B)An opening in the intra-atrial septum
C)A muscular structure that grows downward from the upper portion of the embryologic atria
D)A wall that divides two cavities

Question 18

Postoperative surgical risks for Coarctation of the aorta include which of the following
I)Persistent hypotension
II)Vocal Cord paralysis
III)Chylothorax
IV)Upper extremity paralysis
V)Post Coarctectomy syndrome

A)I, II, and IV
B)III, IV, and V
C)II, III, and IV
D)I, III, and V

Question 19

Which of the following are symptoms of aortic stenosis
I)Tachypnea
II)Normal feedings
III)Failure to thrive
IV)SynCope
V)Vigor
VI)Gradual exercise intolerance

A)I, III, IV, and VI
B)II, III, V, and VI
C)I, II, IV, and V
D)I, II, III, and V

Question 20

Which of the following are possible treatments for severe pulmonic stenosis
I)Prostaglandin therapy
II)Balloon valvuloplasty
III)Valve replacement
IV)Angioplasty

A)I, II, and III
B)II, III, and IV
C)I, II, and IV
D)I, III, and IV

Question 21

Registered respiratory therapists should use which of the following strategies to treat a severe upper respiratory obstruction associated with a double aortic arch
I)Intubate and place on mechanical ventilation
II)Positive pressure ventilation
III)Positive end-expiratory pressure
IV)Bronchodilators
V)Racemic epinephrine

A)II, III, and IV
B)I, II, and III
C)II, IV, and V
D)I, III, and V

Question 22

Which of the following diagnostic tests are used to Confirm a diagnosis of double aortic arch
I)MRI
II)CT scan
III)CT angiography
IV)Barium swallow

A)I, II, and III
B)I, III, and IV
C)II, III, and IV
D)I, II, and IV