3. Acyanotic Congenital Heart Disease.

***) All of the following are acyanotic congenital heart disease, except:

1. Ventricular septal defect

2. Fallot tetralogy

3. Aortic stenosis

4. Atrial septal defect

5. Pulmonary stenosis

Answer: B* Fallot tetralogy

***) All of the following are acyanotic congenital heart diseases, except:

1. Transposition of great vessels

2. Patent ductus arteriosus

3. Coarctation of aorta

4. Atrial septal defect

5. Ventricular septal defect

Answer: A* Transposition of great vessels

***) The commonest non cyanotic congenital heart disease is:

1. ASD atrial septal defect

2. VSD ventricular septal defect

3. PDA persistent ductus arteriosus

4. Aortic stenosis

5. Mitral insufficiency

Answer: B* VSD ventricular septal defect

***) Regarding left to right cardiac shunts all are true, except:

1. Cyanosis is a prominent feature

2. Oxygenated blood is shunted from left to right

3. Systemic flow is decreased

4. Pulmonary congestion is a prominent feature

5. Left heart pressures normally exceed those on the right

Answer: A* Cyanosis is a prominent feature

***) In Atrial Septal Defect (ASD) all are true except:

1. The murmur heard is secondary to flow through the ASD

2. Surgery is indicated once diagnosed in symptomatic patients

3. Secundum type is the most common

4. Usually asymptomatic in childhood

5. Surgery is contraindicated if severe pulmonary hypertension developed

Answer: A* The murmur heard is secondary to flow through the ASD

***) Large VSD alone in infancy may present by all of the following, except:

1. Failure to thrive

2. Recurrent chest infections

3. Holosystolic murmur

4. Cardiomegaly and oligemic lungs on chest X-ray

5. ECG shows biventricular hypertrophy

Answer: D* Cardiomegaly and oligemic lungs on chest X-ray

***) All of the following could be manifestations of large VSD, except:

1. Feeding difficulties

2. Left to right shunt

3. Cardiomegaly

4. It is the commonest congenital heart disease

5. Absent femoral pulse

Answer: E* Absent femoral pulse

***) A 2 year old boy, presented with upper respiratory tract infection, the treating physician accidently heard a pansystolic murmur during cardiac auscultation the most likely diagnosis is:

1. Atrial septal defect

2. Coarctation of aorta

3. Transposition of great vessels

4. Ventricular septal defect

5. Patent ductus arteriosus

Answer: D* Ventricular septal defect

***) Regarding coarctation of the aorta all are true except:

Affecting males more than females

The ascending aorta is the most common site

Can be presented with hypertension at childhood

In severe narrowing its indication for surgery

The surgical approach is through right rhoracolomy

Answer: 2* The ascending aorta is the most common site

***) All of the following does not require treatment in a newborn, except:

1. A scrotal hydrocele

2. Breast enlargement

3. Mongolian spot

4. An erupted tooth

5. Femoral pulses absent

Answer: E* Femoral pulses absent

4. Cyanotic Congenital Heart Disease.

***) Cyanotic congenital heart disease includes all of the following, except:

1. Transposition of great vessels

2. Fallot tetralogy

3. Isolated VSD

4. Tricuspid atresia

5. Pulmonary artery stenosis

Answer: E* Pulmonary artery stenosis

***) Only one of the following is cyanotic congenital heart disease:

1. Fallot tetralogy

2. Patent ductus arteriosus

3. Atrial septal defect

4. Ventricular septal defect

5. Coarctation of aorta

Answer: A* Fallot tetralogy

***) Tetralogy of Fallot exhibits all of the following, except:

1. Cyanosis

2. Ventricular septal defect

3. Patients do not develop congestive heart failure in infancy

4. Obstruction to right ventricular outflow

5. Right ventricular hypertrophy

Answer: C* Patients do not develop congestive heart failure in infancy