Paediatrics Cardiovascular System

Q1 - True about fetal circulation-4) Heart receives blood with high oxygen saturation

Q2 - NADA's criteria are used for -3) Assessment of child for presence of heart disease

Q3 - NADA's criteria are used for-3) Assessment of child for presence of heart disease

Q4 - Cyanosis is seen in -b) Tricuspid atresia d) Eisenmenger complex e) Tetralogy of Fallot

Q5 - ASD is seen in a/e -1) Turner's synd

Q6 - True about ASD2) Left parasternal peeve is due to increased pulmonary artery flow

Q7 - ASD is associated with all except -1) Infective endocarditis

Q8 - Most Common type of VSD-1) Membranous

Q9 - True about VSD are all except -3) Reverse spliting of S2

Q10 - True about VSD is all except -4) Pulmonary Oligemia in chest x-ray

Q11 - In patent ductus arteriosus connection is between -2) Aorta and pulmonary artery

Q12 - True statement about uctus Arteriosus is -4) May cause a machinary murmur by its patency.

Q13 - True about 1 year old child with PDAis-1) Symptoms similar to Aorto pulmonary window

Q14 - MC cause of death in adult with PDA is -1) CCF

Q15 - Preiterm babywith PDA, which is the least idly findings? 1) CO2 washout

Q16 - All of the following about PDA are true except -1) More common in males

Q17 - Large PDA (Patent ductus arteriosus) leads to-1) Endocardial valvulitis2) Eisenmenger
syndrome3) CHF

Q18 - The following features are true for tetralogy of Fallot, except -3) Atrial septal defect

Q19 - Essential criteria for TOF includes all except -1) Valvular stenosis

Q20 - Tetralogy of Fallot's present with one of the following-1) Cenral cyanosis with clubbing

Q21 - Which of the following does not complicate into CHF-3) Tetralogy of fallot's

Q22 - True about TOF -1) Clubbing of feet2) Squatting3) Cyanotic spells4) CHF not occur

Q23 - Blalock and Taussig shunt is done between -1) Aorta to pulmonary artery

Q24 - Components of Tetralogy of Fallot is/are -1) VSD2) Taussig-Blalock shunt is between
pulmonary & subclavian artery3) Morphine is given for cyanosis

Q25 - Which of the following is a component of Pentalogy of Fallot -1) Atrial septal Defect (ASD)
Q26 - Tetralogy of fallot is characterized by following except-1) AS

Q27 - Potts shunt is -2) Descending aorta to left pulmonary artery

Q28 - All are true regarding tricuspid atresia except -1) Split S2

Q29 - True about Ebstein anomaly is? 2) Right atrial dilatation

Q30 - Ebsteins anomaly is associated with -1) Tricuspid atresia

Q31 - True about TGA-1) Cyanotic disease2) Aorta anterior to pulmonary artery3) VSD

Q32 - True about TGA-1) Cyanosis at birth2) CHF3) VSD

Q33 - In TGA, position of aorta is -4) Anterior and right to pulmonary artery

Q34 - Figure of 8 configuration on chest x-ray is seen in -3) TAPVC

Q35 - Eisenmenger complex is common in adult in -1) VSD

Q36 - All are signs of impending Eisenmenger except -1) Increased flow murmur across tricuspid &
pulmonary valve

Q37 - Eisenmenger syndrome is characterized by all except -1) Return of left ventricle & right ventricle
to normal size

Q38 - Eisenmenger syndrome-True are A/E-2) RV & LV walls come back to normal size

Q39 - Coanotation of the aorta is common in which syndrome -2) Turner's

Q40 - Coarctation of aorta is associated with all,except-3) Pulmonary stenosis

Q41 - Coarctation of aorta is associated with -2) Bicuspid aortic valve

Q42 - True about co-arctation of aorta -1) Most common site is distal to the origin of the left
subclavian artery

Q43 - All of the following causes death in coarctation of Aorta except-4) Anterior MI

Q44 - Ribnotching of 4-9th ribs with double bulging is seen in -3) Co - arctation of aorta

Q45 - Coarctation of aorta is most commonly associated with -3) Bicuspid aortic valve

Q46 - PGE causes worsening in infant with ? 3) Obstructive TAPVC

Q47 - Right aortic arch is most commonly associated with-2) Truncus arteriosus

Q48 - The most common presentation of double aortic arch in infants is ? 2) Tracheal compression
symptoms

Q49 - Commonest cause of heart failure in infancy is -4) Congenital heart disease

Q50 - All are true about rheumatic fever, except -3) Communicable disease
Q51 - What is NOT a major criteria for Rheumatic heart disease -4) Raised ASLO titer

Q52 - True about Rheumatic carditis 4) Pancarditis

Q53 - About carey commb's murmur which is false 3) Can be associated with AR

Q54 - Most common manifestation of rheumatic fever -1) Arthritis

Q55 - True about Rheumatic fever -1) Chorea is aggravated during pregnancy

Q56 - True about subcutaneous nodule in Rheumatic fever- a) Non tender c) Present on extensor
surfaces

Q57 - True statement about Rheumatic fever in children – a) Polyarthritis d) MC valve involvement is
Mitral

Q58 - Earliest valvular lesion in a case of acute rheumatic fever is -1) Mitral regurgitation (MR)

Q59 - Steroids are given in rheumatic fever when there is-1) Carditis

Q60 - Which is not a major criteria of Jones in Rheumatic fever? 4) Elevated ESR

Q61 - Carey coomb murmur is seen in -2) Acute rheumatic carditis

Q62 - Regarding ASO titre all are seen except -3) ASO titre included in major criteria in jones criteria

Q63 - Bacterial endocarditis is most commonly caused by-3) Staphylococcus aureus

Q64 - Infective endocarditis is not seen in -1) ASD

Q65 - Infective endocarditis least common in ? 4) Small ASD

Q66 - The most common cause of secondary hypertension in children is -2) Renal disease

Q67 - What is seen in severe AS -2) Late ejection systolic click

Q68 - Loud S1 in Mitral stenosis is seen in-1) Prolonged flow through mitral valve

Q69 - Cardiomegaly is seen in -1) Multivalvular disease2) Anemia3) Pericardial effusion

Q70 - Differential cyanosis is seen in -3) PDA

Q71 - Cardiomyopathy is not a feature of -4) Lowe's syndrome

Q72 - Pulsatile varicose veins in lower limbs is seen in -2) TR

Q73 - MC cardiac tumor in childhood -1) Rhabdomyoma2) Atrial myxoma3) Fibroma

Q74 - Umbilical cord has -1) 1 vein and 2 arteries

Q75 - Which one of the following is a cyanotic congenital heart disease? 4) Tetralogy of Fallot

Q76 - Most common type of atrial septal defect is -2) Ostium secondum
Q77 - A taussing - ing malformation is best treated by -2) Diversion of the septal defect

Q78 - Systolic murmur in TOF is due to ? 2) Pulmonary stenosis

Q79 - In which of the following differential cyanosis found? 2) PDA with reversal of shunt

Q80 - Ductus arteriosus closes in response to -2) Indomethacin therapy

Q81 - In transposition of great vessles, all are true except- b) Mitral valve is continuous with the aortic
valvec) Causes jaundice immediately after birth

Q82 - Egg on side appearance is seen in -2) Transpositionofgreatvessels

Q83 - Emergency treatment for TGV -1) Balloon septostomy

Q84 - Severity of Aortic stenosis is determined by ? a) Late ejection systolic murmur b) ST -T changes

Q85 - Uncommon finding in congestive cardiac failure in new born -4) Pedal edema

Q86 - Commonest cause of enlarged cardiac shadow in X-ray of a child is -4) Rheumatic carditis

Q87 - lose of digoxin in a child as mg/kg is -3) 0.04-0.06

Q88 - Pure left sided failure may be seen with - b) Aortic stenosis c) Patent ductus arteriosus

Q89 - Infantile myocarditis and pericarditis is due to -2) Coxsackie B

Q90 - Cause of death in Acute rheumatic fever is -3) Endocarditis

Q91 - Which of the following are immune complex lesions in SBE -1) Osler nodes2) Microscopic
hematuria3) Roth spots

Q92 - Commonest cause of systemic hypertension in children is -2) Acute glomeurlonephritis

Q93 - The average B .P. of a 1 year old child is -3) 95/50

Q94 - Intracavitary electrocardiography is a diagnostic aid in-4) Ebstein's anomaly of the tricuspid
valve

Q95 - Lutembacher's syndrome comprises of -3) Atrial septa' defect with mitral stenosis

Q96 - In atrial septal defect the aorta is -1) Small

Q97 - A patient of VSD in CCF develops clubbing with no cyanosis diagnosis is -3) Subacute bacterial
Endocarditis

Q98 - The following statements are true of patent ductus arteriosus(PDA) except -a) Spontaneous
closure occurs in some term infants e) Anatomic existence ofPDA is an indication for surgery

Q99 - All of the following are true regarding Tetralogy of Fallot except -3) Predominantly left to right
shunt

Q100 - In which of the following a 'Coeur en Sabot' shape of the heart is seen -4) Tetralogy of Fallot
Q101 - The most common type of total anomalous pulmonary venous connection is -1) Supracardiac

Q102 - Obstruction in pulmonary stenosis may occur at the following sites -1) Supravalvular2)
Valvular3) Subvalvular

Q103 - Congenital heart disease which causes death in the first week of life -4) Hypoplastic left
ventricle

Q104 - Which of the following is not a characteristic of right sided failure -1) Pulmonary oedema

Q105 - In a patient of rheumatic earditis full dose of steroid is given for -4) 12 weeks

Q106 - Sustained severe hypertension in children is most commonly suggestive of -3) Renal
parenchymatous disease

Q107 - All of the following are acyanotic congenital heart diseases except -4) Tetralogy of fallot

Q108 - A child with tetralogy of fallot uses which of the following positions -3) Squatting

Q109 - Obstruction in pulmonary stenosis may occur at the following sites -1) Supravalvular2)
Valvular3) Subvalvular

Q110 - Balloon valvotomy is successful in all of the following cases except-2) Calcified mitral stenosis

Q111 - Oxygenated blood to the fetus is carried by-2) Umblical vein

Q112 - Anatomical closure of ductus arteriosus occurs at-3) 10th day

Q113 - Ebstein's anomaly is seen with intake of -3) Lithium

Q114 - Right axis deviation is seen in all except - b) Tricuspid atresia c) Pulmonary atresia

Q115 - Pulumonary plethora is seen in all except -3) Fallots tetralogy

Q116 - Plethoric lung field is seen in which CHD -4) VSD

Q117 - Commonest type of congenital heart disease is-2) VSD

Q118 - Commonest type of tong. cyanotic heart disease is -3) TOF

Q119 - All of the fo owing are true about ASD ilk except -2) Left atrial hypertrophy

Q120 - All of the following are characteristic features of Tricuspid Atresia except -4) Splitting of S2

Q121 - The following cardiac defects are characterized by ductus dependent blood flow except -3)
Truncus arteriosus

Q122 - Ductus dependent blood flow is required for all of these congenital heart diseases except -1)
Persistent truncus arteriosus

Q123 - A child after 4 weeks of birth acyanotic, ejection systolic murmur detected causes are/is -1)
V.S.D.2) P.D.A.3) Coarctation of aorta

Q124 - The treatment of choice for a case of congestive failure with hypertension is -1) ACE inhibitors
Q125 - Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient -1) Erythromycin

Q126 - All of following are recognized manifestation of acute Rheumatic fever except - a) Abdominal
pain b) Epistaxis

Q127 - Which one of the following is the most common cause of cyanotic heart disease-2) Fallot's
tetralogy

Q128 - Which of the following manifestation of rheumatic fever disappears completely? 2) Arthritis

Q129 - The most common anomaly seen in the fetus of a mother taking lithum carbonate is -1)
Cardiac deformities

Q130 - The following is false about Atrial septal defect -2) Right to Left Shunt

Q131 - The most appropriate management for maintaining patency of ductus arteriosus in a neonate is -
1) Prostaglandin E1

Q132 - A neonate has central cyanosis and short systolic murmur on the 2nd day of birth.The diagnosis is
-2) Transposition of great vessels

Q133 - All of the following statements regarding total anomalous pulmonary connection are true except
-2) Always associated with a VSD

Q134 - 2 year old child presented with sudden onset of altered sesorium on examination P was 200/100
-3) Glomerulonephritis

Q135 - Which of the following syndromes is best associated with congenital heart disease -3) Holt
Oram syndrome

Q136 - The heart lesion not found in Congenital Rubella infection is -1) ASD

Q137 - Congenital cyanotic heart disease with pulmonary oligemia is seen with -3) Tricuspid atresia

Q138 - A child with central cyanosis and enlarged left ventricle the probable diagnosis is -1) Tricuspid
atresia

Q139 - Which one of the following does not produce cyanosis in the first year of life -1) Atrial septal
defect

Q140 - Recurrent respiratory tract infections may occur in all of the following except -2) Tetrology of
Fallot

Q141 - In which of the following conditions left atrium is not enlarged -2) Atrial septal defect

Q142 - Which one of the following congenital heart diseases has cyanosis without cardiomeglay and/or
congestive heart failure -2) Fallot's tetralogy

Q143 - A young female presents with history of dyspnoea on exertion. On examination, she has wide,
fixed split S2 with ejection systolic murmur (III/VI) in left second intercostal space. Her ECG shows left
axis deviation. The most probable diagnosis is -3) Ostium primum atrial septal defect.
Q144 - Which of the following statements is/are false about ostium secundum ASD - b) Narrow splitting
of 2nd heart sound c) Lt axis deviation in ECG

d) Shunt murmur prominent

Q145 - Which is going to best declare the case as that of interatrial septal defect with other cardiac
abnormalities -2) Elevated pressure in right atrium

Q146 - A child with large perimembranous VS it has congestive heart failure. What may be the cause of
improvement of cardiac failure in the patient -2) Vascular changes in pulmonary circulation

Q147 - A 29-day old child presents with features of congestive cardiac failure and left ventricular
hypertrophy. Auscultation shows a short systolic murmur. Most likely diagnosis is -4) Ventricular

Q148 - Which of the following features on X-ray chest can differentiate an Atrial septa! Defect (ADH)
from a Ventricular Septal Defect (VSD) 1) Enlarged Left Atrium

Q149 - A premature infant is born with a patent ductus arteriosus. Its closure can be stimulated by
administration of-4) Prostaglandin inhibitors

Q150 - A6 month old child with Tetralogy of Fallot develops cyanotic spell initiated by crying. Which one
of the following drugs you would like to avoid- (a) (b) 4) Isoprenaline

Q151 - A five year old child presents with left ventricular hypertrophy and central cyanosis what is the
most probable diagnosis -1) Tricuspid atresia

Q152 - A patient presents with LVH. and pulmonary complications. ECG, shows left axis deviation. Most
likely diagnosis is -2) Tricuspid atresia

Q153 - A five day old, full term male infant was severely cyanotic at birth. Prostaglandin E was
administered initially and later ballooned atrial septosomy was done which showed improvement in
oxygenation. The most likely diagnosis of this infant is -2) Transposition of great vessels

Q154 - A child with VS presents with development of cyanosis because of Eisenmenger physiology. What
is the correct sequence of events which leads to this change -2) Left to right shunt, right ventricular
hypertrophy, pulmonary hypertension, right to left shunt.

Q155 - A neonate has recurrent attacks of abdominal pain,restless irritability and diaphoresis on feeding.
Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for M.I. Likely diagnosis
here is -4) Anomalous coronary artery

Q156 - In post ductal coarctation of the aorta, blood flow to the lower limb is maintained through which
of the following arteries -3) Intercostal arteries and superior epigastric artery

Q157 - A child presented with headache, dizziness, intermittent claudication with occasional
dyspnoea.The most probable diagnosis in -4) Coarctation of aorta

Q158 - A 1-month-old boy is referred for failure to thrive. On examination, he shows feature of
congestive failure. The femoral pulses are feeble as compared to branchial pulses. The most likely
clinical diagnosis is -2) Coarctation of aorta
Q159 - A ten year old boy presents to the pediatric emergency unit with seizures. Mood pressure in the
upper extremity measured as 200/140 mm Hg. Femoral pulses were not palpable. The most likely
diagnosis amongst the following is -4) Coarctation of aorta

Q160 - A 41/2 year old girl always had to wear warm socks even in summer season. On physical
examination, it was noticed that she had high blood pressure and her femoral pulse was weak as
compared to radial and carotid pulse, a chest radiography showed remarkable notching of ribs along
with their lower borders. This was due to -2) Coarctation of aorta

Q161 - A child is admitted on 7 days of life with severe respiratory distress and shock. He was discharged
2 days back healthy. What could be the probable diagnosis -2) Hypoplastic left heart syndrome

Q162 - A blue new born presents with cyanosis. The X-ray chest reveal oligaemic lung field and normal
sized heart. Most likely diagnosis is -2) Pulmonary atresia

Q163 - 7 day old baby presented in emergency deparment with unconciousness, cyanosis and 85%
oxygen saturation. The diagnosis - b) TGA c) TAPVC

Q164 - The commonest cyanotic heart disease manifesting as congestive cardiac failure during first week
of life is -4) Hypoplastic left heart syndorme

Q165 - Which of the following is a minor criteria for diagnosis of Rheumatic fever (RP) according to
modified Jones criteria -3) Fever

Q166 - A 2 year old known case of RH I presents with 3 wks history of fever, hematuria and palpitation
diagnosis is -4) Staphylococcal endocarditis

Q167 - 8 year old child presented with altered sensorium and seizure on examination ALP was
180/120.Correct statements -1) Sodium nitroprusside drips2) IV labetolol, hydralazine, and
diazoxide are given3) Nifedipine is used4) Pheochromocytoma mimics the condition

Q168 - Children born to mothers with systemic lupus erythematosis are likely to have one of the
following anomalies -4) Complete heart block

Q169 - A two-year old boy present with episodes of becoming dusky. On examination, there was central
cyanosis and clubbing. There was no pallor, oedema or respiratory distress. The heart was normal sized
with a parasternal heave. A systolic thrill was palpable over the left middle sternal border. First heart
sound was normal and only the aortic component was audible in the second heart sound.Liver was not
enlarged -What would be the likely diagnosis -4) Tetralogy of Fallot

Q170 - A new born presents with deepening cyanosis at birth, with congestive heart failure and normal
first heart sound. X-ray reveals cardiomegaly diagnosis is -3) Transposition of great vessels

Q171 - A two-month-old infant is brought to the hospital emergency with marked respiratory distress.
On examination, the infant has cyanosis and bilateral crepitations. Heart rate is 180/min, respiratory
rate 56/min and the liver span 7.5 cm. The child has had repeated episodes of fever, cough and
respiratory distress since the time of birth. Cardiovascular examination reveals a grade HI ejection
systolic murmur in left parasternal area and the chest X-ray reveals cardiomegaly with a narrow base
and plethoric lung fields. What is the most likely diagnosis ? 2) Transposition of great arteries
Q172 - A newborn baby develops cyanosis on day three of life. On auscultation, there is a systolic
murmur. Echocardiography reveals a cyanotic heart disease in the baby. Which one of the following
drugs can be intervention -administered to prolong the life of the baby pending3) Prostaglandin E1

Q173 - The clinical features associated with coarctation of aorta in older children are the following
except -4) Absence of flow murmurs over scapular region

Q174 - A 7 year old child with rheumatic heart disease presents with pallor, fever and a palpable spleen.
The following investigations would be needed to arrive at a diagnosis except -1) Electrocardiogram

Q175 - An 8-month-old female child presented to emergency with a heart rate of 220/minute and
features of congestive heart failure. Her heart rate comes down to normal after administering
intravenous adenosine. What is the most likely diagnosis? 3) Paroxysmal supraventricular tachycardia

Q176 - A newborn infant was referred with intermittent cyanosis which improved on crying but
worsened when quiet. What is the most likely diagnosis? 2) Congenital heart disease (Cyanotic)