Q) ASD most commonly associated with mitral insufficiency
a) Secundum defect
b) Sinus Venosus defect
c) Ostium primum
d) Coronary sinus defect
Q . Which of the following has the greatest impact on the physiology of tetralogy of Fallot?
A. The size of the ASD.
B. The size of the VSD.
C. The degree of pulmonary stenosis.
D. The amount of aortic overriding
Q. Which of the following statements about VSDs is wrong ?
A. Spontaneous closure occurs in 25-50% of patients during childhood.
B. Tachypnea and failure to thrive are symptoms frequently associated with large VSDs.
C. Patients with normal pulmonary vascular resistance and left-to-right shunting across the VSD have Eisenmenger’s complex.
D. Patients with a large VSD and low pulmonary vascular resistance can present with a mid diastolic murmur at the apex.
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Q) Paradoxical breathing is seen in
a) Poland syndrome
b) Flail chest
c) Pectus excavatum
d) Pectus carinatum
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Q Autopsy finding in a patient who dies of Tetrology of Fallot is
a) Brachiocephalic vein draining into the left renal vein
b) Inferior vena cava (IVC) draining to the superior mesenteric vein
c) Atrial Septal Defect (ASD)
d) Decreased vascularity of the lung field
Q) Order of anastomosis in lung transplant is
a) Pulmonary artery --------- Pulmonary vein ------------- Bronchus
b) Pulmonary vein ---------- Bronchus ----------------Artery
c) Pulmonary vein---------- Artery -----------Bronchus
d) Bronchus--- Artery------------- Vein
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Q) A 68 year old man undergoes repair of infra renal aortic aneurysm. On 2nd POD he has abdominal pain, bloody diarrhea and tachycardia. BP is 120/70. Abdomen is mildly distended and tender especially in the left lower quadrant.
How will you proceed
a) Send stool for clostridium and spores
b) CT Abdomen
c) Exploratory laparotomy
d) Higher antibiotics
Answer for premium - Discuss the complications of Surgery for aortic aneurysm
Q) Most common site for traumatic aortic rupture is
a) Distal to the origin of left subclavian artery
b) Point of entry of aorta above the diaphragm
c) Root of aorta
d) Point distal to Left carotid artery
a) Distal to origin of subclavian artery
Traumatic aortic rupture leads to sudden death after high impact automobile accident or fall from height. Aorta is relatively fixed distal to ligament arteriosum just distal to the origin of subclavian artery and this is the most common site of traumatic rupture especially partial rupture in which adventitia is intact.
Specific clinical findings are
- Asymmetry of BP in upper limbs or upper and lower limbs
- Widened pulse pressure
- Chest wall contusions
Bailey page 355