PEM Cardiac Quiz

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Question 1 of 6

1. Question
If a pacemaker is set for ddd90 what would that mean?
- the patient has SVT
- dilated deliberate disease at 90 %
- dual dual dual at 90 beats per min
- triple strength pace maker
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Question 2 of 6

2. Question
If you hear a loud/ harsh systolic murmur what is that indicative of?
- small VSD
- AVSD
- Large VSD
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Question 3 of 6

3. Question
What does MAPCAS stand for?
- major aortopulmonary Collateral Artery
- Major aortopulmonary Coronary Artery
- Missing aortic passage cardiac artery
- Minor arterial passage of the cardiac abnormality
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Question 4 of 6

4. Question
What are your 4 points for diagnosis of SVT?
- 1. HR above 180 in infants and then 160 in teenagers
  2. No beat to beat variation
  3. absent T-waves
  4. No obvious reversible reason for tachycardia
- 1. Child looks shocked
  2. Tachycardia above 180
  3. Previous cardiac history
  4. No P waves
- 1. Previous cardiac abnormality
  2. Sweaty
  3. Screaming child
  4. no QRS complex
- 1. Tachycardia above 200 for infants and adults
  2. Hx of cardiac abnormality
  3. going on for hours
  4. No T or P wave
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Question 5 of 6

5. Question
What is a spell?
- Child has significant cardiac history
- Hypercyanotic episodes are an effect of an acute imbalance of a pulmonary and systemic vascular resistance, resulting in an increased right to left blood flow through the ventricular septal defect and consequent attenuation of right ventricular outflow tract obstruction
- Hypocyanotic episodes are an effect of an acute imbalance of a pulmonary and systemic vascular resistance, resulting in an increased right to left blood flow through the ventricular septal defect and consequent attenuation of left ventricular outflow tract obstruction
- Hypercyanotic episodes are an effect of an acute imbalance of a pulmonary and systemic vascular resistance, resulting in an increased left to right blood flow through the atrial septal defect and consequent attenuation of right ventricular outflow tract obstruction
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Question 6 of 6

6. Question
If a child has had a TCPC with a 3 mm fenestration, what does that mean?
- This means a total cavo pulmonary connection with a 3 mm hole
- This means a total cardiac pacing connection with a 3 mm connection
- This means a transient cardiac pulmonary connection with a 3 mm hole
- This means a taussig creative pulmonary connection with a 3 mm device
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PEM Cardiac Quiz

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