tag:blogger.com,1999:blog-44586897899241668172024-03-05T03:25:27.424-08:00PediCardiology QuizBalahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.comBlogger37125tag:blogger.com,1999:blog-4458689789924166817.post-25921827983978931662014-09-17T05:47:00.005-07:002021-09-30T05:22:23.541-07:00Quiz #40: EKGEKG from a 1-day old newborn is given. Patient was consulted by NICU for "bradycardia" (~90 bpm). Clue: V1 rhythm strip provides good wave form to evaluate.<br />
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Questions:<br />
1) What is the cause of the relative "bradycardia"?<br />
2) Explain why A-V block is not the primary diagnosis.</div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/10/quiz-40-reason-for-bradycardia.html" target="_blank">Link to the answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-51193942479068250882014-09-07T10:45:00.000-07:002014-09-17T05:32:05.925-07:00Quiz #39: Where is the catheter?Two sets of images (PA & Lateral views in each) taken from the same angiogram - before and during contrast injection. This patient with tricuspid atresia is undergoing pre-Glenn catheterization.<br />
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Questions:<br />
1) Trace the catheter course.<br />
2) In which chamber is the catheter tip?<br />
3) Comment on the great arteries relationship (normally-related or otherwise).<br />
4) Based on answers to above questions, what classification type of tricuspid atresia is this?<br />
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/09/quiz-39-where-is-catheter.html" target="_blank">Link to the answer</a></span><br />
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<br />Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-61515685096427733382014-08-30T10:00:00.000-07:002014-09-07T09:44:10.129-07:00Quiz #38: EKG: What is the rhythm diagnosis?<div class="separator" style="clear: both; text-align: center;">
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5-mo old with Down Syndrome. 2nd postoperative day after surgical closure of large inlet VSD.</div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/09/quiz-38-ekg-answer.html" target="_blank">Link to the answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com1tag:blogger.com,1999:blog-4458689789924166817.post-27020025973143112502014-08-18T04:23:00.003-07:002014-08-31T05:45:15.909-07:00Quiz #37: Video Quiz - Echocardiogram<div class="separator" style="clear: both; text-align: center;">
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Four-hours old newborn with cyanosis.<br />
1) What do you observe?<br />
2) Provide at least 3 differential diagnoses for this observation.<br />
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/08/quiz-37-echo-quiz-answer.html" style="font-size: x-large;" target="_blank">Link to the answer</a><br />
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<br />Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-27556683081038060112014-08-10T05:23:00.003-07:002014-08-18T05:22:00.708-07:00Quiz #36: EKG12-lead EKG is provided. What is the diagnosis?<br />
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/08/quiz-36-ekg.html" target="_blank">Link to answer</a></span><br />
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<br />Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-7667180803313378672014-08-03T13:42:00.002-07:002014-08-10T05:13:56.998-07:00Quiz #35: 12-Lead EKG8 year old boy was referred for evaluation of chest pain. 12-lead EKG is provided. What is the EKG diagnosis?<br />
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/08/quiz-35-ekg-answer.html" target="_blank">Link to the answer</a></span><br />
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<br />Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com3tag:blogger.com,1999:blog-4458689789924166817.post-63098127210024718802014-07-28T12:09:00.003-07:002014-08-03T13:38:51.991-07:00Quiz #34: ICU - Temporary Pacemaker<div class="MsoNormal">
Quiz # X: ICU – Temporary Pacemaker<o:p></o:p></div>
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6 month old infant s/p AV septal defect repair. 3<sup>rd</sup>
postoperative day. Underlying rhythm was 3<sup>rd</sup> degree AV block &
probable sinus node dysfunction. The rhythm strip was printed to evaluate the
temporary pacemaker.<o:p></o:p></div>
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Questions:<o:p></o:p></div>
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1) What mode is being used?</div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/08/quiz-34-temporary-pacemaker.html" target="_blank">Link to answer</a> </span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-36029970113789718172014-07-20T06:33:00.004-07:002014-07-28T11:51:19.253-07:00Quiz #33: ICU Arterial line traces<div class="MsoNormal">
Quiz #33: ICU Arterial line Traces<o:p></o:p></div>
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13-year old patient who underwent repair of coarctation of
aorta earlier that day has two arterial lines – right radial & left
femoral. The apparent peak to peak pressure gradient across the coarctation
repair site is 37 mmHg. <o:p></o:p></div>
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Question: Based on the traces in each arterial line, is the
pressure gradient higher than, lower than or equal to 37 mmHg? Why?<o:p></o:p></div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/07/quiz-33-arterial-line-traces-answer.html" target="_blank">Link to answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-61125113329722229352014-07-15T17:30:00.001-07:002014-07-20T06:23:20.770-07:00Quiz #31: RA line trace<div class="MsoNormal">
This RA trace was recorded in cath lab, under endotracheal
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Question: Which wave is the taller one, a wave or v wave?<o:p></o:p></div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/07/quiz-31-answer.html" target="_blank">Link to the answer</a> </span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-85864634471624672202014-07-05T06:25:00.001-07:002014-07-15T15:18:59.276-07:00Quiz #30: EKG - Arrhythmia13-year old girl was transferred to Pediatric ICU for atrial flutter. She is obtunded and has muscle tremors. Suspected to have developed encephalopathy as part of a systemic vasculitis. Figure 1 is an strip from floor with EKG and pulse oximeter trace. Figure 2 is an apical 4-chamber view with Doppler trace of mitral/aortic valve flows.<br />
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Questions:<br />
1) What is the diagnosis?<br />
2) How will you manage?<br />
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/07/quiz-30-ekg-and-doppler-trace-answer.html" target="_blank">Link to the answer</a></span><br />
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-54095304489553121672014-06-01T11:57:00.002-07:002014-07-05T05:49:35.524-07:00Quiz #29: CT scan, Vascular Anomaly<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Quiz 29: CT scan (Vascular Anomaly)<o:p></o:p></span></div>
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<span style="font-family: Calibri;">CT scan images from a 8-mo old boy with stridor, vomiting and weighs 5.6 kg. Figure 1 shows Anterior and Left lateral views. Figure 2 shows 3D reconstruction of trachea-bronchial tree (Barium swallow was not performed).<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Questions:<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">What is the arch sidedness?<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">What is the diagnosis?<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Does the patient need intervention and why?</span></div>
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<span style="color: orange; font-family: Calibri; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/07/quiz-29-ct-scan-vacular-anomaly.html" target="_blank">Link to answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-81032722065173539182014-05-26T09:30:00.000-07:002014-06-01T11:37:44.504-07:00Quiz #28: EKG<div class="separator" style="clear: both; text-align: center;">
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<span style="mso-no-proof: yes;"><span style="font-family: Calibri;">Quiz #28: EKG<o:p></o:p></span></span></div>
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<span style="mso-no-proof: yes;"><span style="font-family: Calibri;">3 year old, post-op day 1.<o:p></o:p></span></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-no-proof: yes;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="mso-no-proof: yes;"><span style="font-family: Calibri;">What is the ventricular rate? (Note: Paper speed).<o:p></o:p></span></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-no-proof: yes;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="mso-no-proof: yes;"><span style="font-family: Calibri;">What is the atrial rate?<o:p></o:p></span></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-no-proof: yes;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="mso-no-proof: yes;"><span style="font-family: Calibri;">What is the diagnosis?<o:p></o:p></span></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-no-proof: yes;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="mso-no-proof: yes;"><span style="font-family: Calibri;">In the past 4 hrs patient has become hypotensive with lower urine output and needed multiple fluid boluses and increase in Dopamine dose. What is the first line treatment?</span></span></div>
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<span style="mso-no-proof: yes;"><span style="color: orange; font-family: Calibri; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/06/quiz-28-ekg-answer.html" target="_blank">Link to the answer</a></span></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com1tag:blogger.com,1999:blog-4458689789924166817.post-43126696705771332572014-05-17T09:21:00.000-07:002014-05-26T09:12:10.070-07:00Quiz #27: EKGs on the day of surgery<div class="MsoNormal">
6 yr old boy, s/p Repair of subaortic membrane. Two EKGs with time of recording are given - both were recorded on the day of surgery. Second EKG was performed because bedside nurse noted a change in EKG trace on the monitor. Patient is sleeping without any complaints.</div>
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Questions:</div>
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1) Describe the most significant change between the two EKGs.</div>
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2) What are the possible reasons for change?<br />
3) How would you proceed further?</div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/05/quiz-27-answer-ekg-with-st-segment.html" target="_blank">Link to the answer</a></span></div>
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EKG 1: Recorded at 12:44 Hrs</div>
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EKG 2: Recorded at 22:44 Hrs. </div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com1tag:blogger.com,1999:blog-4458689789924166817.post-32477928405682391582014-05-03T13:00:00.002-07:002014-05-10T08:47:33.399-07:00Quiz #25: Echo - Identify the vessel (again)!<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Going with the same theme as Quiz #24.<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Subcostal sagittal (bicaval) view in a newborn with severe cyanosis.<o:p></o:p></span></div>
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<span style="font-family: Calibri;">(Some labels are given. <u>Clue:</u> A vertical vessel flowing downwards, behind the IVC).<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Question 1:<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Name the vessel shown by arrow.<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Provide a possible diagnosis. (I won’t be upset if you gave a second possible diagnosis as well!)</span><br />
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<span style="color: orange; font-family: Calibri; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/05/quiz-25-echo-identify-vessel-again.html" target="_blank">Link to the answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-29399057033352468352014-04-26T07:36:00.004-07:002014-05-03T12:53:20.046-07:00Quiz #24: Echo: Identify the vessel<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Subcostal saggital view from a newborn with multiple congenital heart defects.<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Questions:<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Name the vessel shown by the arrow.<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">What defect would you suspect from this observation?</span></div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/05/quiz-24-echo-identify-vessel-answer.html" target="_blank">Link to answer</a></span></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com1tag:blogger.com,1999:blog-4458689789924166817.post-10936665429465795952014-04-19T19:03:00.001-07:002014-05-10T09:31:11.148-07:00Quiz #23: Shunt Calculation<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Hypothetical case: 32 year old male with VSD and Eisenmenger syndrome. Necessary data are given.</span></div>
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Questions:<o:p></o:p></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7pt 'Times New Roman';"> </span></span></span>What is the overall Qp/Qs?<o:p></o:p></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7pt 'Times New Roman';"> </span></span></span>Calculate the effective pulmonary blood flow (Qep).<o:p></o:p></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7pt 'Times New Roman';"> </span></span></span>Calculate the amount of right to left shunt.<o:p></o:p></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7pt 'Times New Roman';"> </span></span></span>Calculate the amount of left to right shunting.<o:p></o:p></div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/04/quiz-23-answer-shunt-calculcation-vsd.html" target="_blank">Link to the answer</a></span></div>
Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-25549270918199638102014-04-13T13:15:00.000-07:002014-04-19T18:46:29.495-07:00Quiz #22: ICU monitor interpretation<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">5 month old baby. Postoperative day 1 after closure of membranous VSD. Panel 1 and Panel 2 were recorded few minutes apart.<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Questions: <o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">What is the arrhythmia in Panel 1?<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">What type of pacing is done in Panel 2?<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Describe the important difference between the CVP waveform in Panel 1 and Panel 2. What is the reason for the difference?<o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4)</span><span style="font: 7pt 'Times New Roman';"> </span></span></span><span style="font-family: Calibri;">Comment about AV conduction in Panel 2.</span></div>
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<span style="font-family: Calibri;">5) </span><span style="font-family: 'Calibri','sans-serif'; font-size: 11pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Why does arterial line trace have a “flat top”? How will you rectify this issue?</span></div>
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<span style="background-color: black; color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/04/quiz-22-icu-monitor-interpretation.html" target="_blank">Link to the answer</a></span><br />
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-61365246438786038392014-04-05T07:05:00.003-07:002014-04-13T13:08:06.773-07:00Quiz #21: EKG<div class="separator" style="clear: both; text-align: center;">
EKG (15-leads and Rhythm strip) is provided from a 11-yr old girl. Referred for sports clearance and family history of heart disease (Grand parents developed coronary artery disease in their 60s). Physical exam is normal.</div>
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<span style="color: orange; font-size: large;"><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2014/04/quiz-21-ekg-answer.html" target="_blank">Link to the answer</a></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhglhlY-FoXnG4lP4AcRMSexkxbBCnws5KIt6DQN8lnBx329GhVHul5vtWFG3owtk2ycBlweWjsyDleoPbCavxK65xDM6IiO09K9YlQGgxSGn1tcYO9ggxqEKdTSWxrdT4dXfAPR5oV2S4/s1600/12-lead.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" closure_lm_157205="null" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhglhlY-FoXnG4lP4AcRMSexkxbBCnws5KIt6DQN8lnBx329GhVHul5vtWFG3owtk2ycBlweWjsyDleoPbCavxK65xDM6IiO09K9YlQGgxSGn1tcYO9ggxqEKdTSWxrdT4dXfAPR5oV2S4/s1600/12-lead.PNG" height="194" width="320" yta="true" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV6ltx3LXq_Z5wVpsOS-oSSV-FVJugzhSYxQiXPnJY18hK8xVgAq18HeRNynvpNg0T8bJNDa7K-6LVjV4_FjpAxI5g0HoEU0bA_CA0rCQj-izBGfjAesFW8FOBWXELZdOt8n5SuTYkbkw/s1600/RhythmStrip.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" closure_lm_157205="null" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV6ltx3LXq_Z5wVpsOS-oSSV-FVJugzhSYxQiXPnJY18hK8xVgAq18HeRNynvpNg0T8bJNDa7K-6LVjV4_FjpAxI5g0HoEU0bA_CA0rCQj-izBGfjAesFW8FOBWXELZdOt8n5SuTYkbkw/s1600/RhythmStrip.PNG" height="152" width="320" yta="true" /></a></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com2tag:blogger.com,1999:blog-4458689789924166817.post-28820696701783948492012-06-27T09:43:00.000-07:002014-04-27T06:07:11.157-07:00Quiz #20: Cardiac Catheterization<div class="separator" style="clear: both; text-align: center;">
PA and Lateral frames of venous and arterial catheters are given below.</div>
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Question 1: Trace the course of venous catheter. What diagnosis does this catheter-course lead you to?</div>
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Question 2: Trace the course of the arterial catheter. What side is the aortic arch? (Beware, this question is a trick question).</div>
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/07/quiz-20-cardiac-catheterization.html" target="_blank">Link to answer</a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLzfa28NOeApOBG_uSU-FPB33SrFgMUFOgftCv9vkaKF8tyMvG1Hhtv33mXsi36bN7WLecvdyi7ZDAK7CPBMy2xxcTP0LONebWTqOzp_ri1kfiAhvD4iaPEGZeKZRShS33JjmNQ7jZILM/s1600/WhereIsTheCathDiagnosist.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLzfa28NOeApOBG_uSU-FPB33SrFgMUFOgftCv9vkaKF8tyMvG1Hhtv33mXsi36bN7WLecvdyi7ZDAK7CPBMy2xxcTP0LONebWTqOzp_ri1kfiAhvD4iaPEGZeKZRShS33JjmNQ7jZILM/s320/WhereIsTheCathDiagnosist.bmp" height="288" vca="true" width="320" /></a></div>
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Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-43402164941557491402012-06-02T07:38:00.001-07:002012-06-11T16:21:58.010-07:00Quiz #19: Echocardiogram - Aortic arch viewThis is a suprasternal notch view of the aortic arch from a newborn baby. <br />
Question 1: What is abnormal in Panel 1?<br />
Question 2: Based on Panel 1 image, what vascular anomaly should be looked for?<br />
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Clue 1: Baby in Panel 1 has Tetralogy of Fallot with right aortic arch.<br />
Clue 2: Panel 2 is the same view of aortic arch from a normal baby.<br />
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/06/quiz-19-answer.html" target="_blank">Link to the answer</a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0Oqg_pUkU5vyxzKlqjlU2IPsaIqkRcF76imYiQf7pkgkUbxPIbwUshokOf_LL-j51z6rfatxxlAgdK87HTqM8-7cgqkBG9uWe-Vpe5smcITfRLWW7tOQ3CfhEAZP_qeqiugmnz-hx_bs/s1600/Slide2crop.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" rba="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0Oqg_pUkU5vyxzKlqjlU2IPsaIqkRcF76imYiQf7pkgkUbxPIbwUshokOf_LL-j51z6rfatxxlAgdK87HTqM8-7cgqkBG9uWe-Vpe5smcITfRLWW7tOQ3CfhEAZP_qeqiugmnz-hx_bs/s320/Slide2crop.PNG" width="294" /></a>Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-64203608868175711172012-05-26T10:26:00.000-07:002012-06-27T09:45:46.668-07:00Quiz #18: EKG Rhythm Strip<div class="separator" style="clear: both; text-align: left;">
This is an EKG recorded in a 2-day baby (Tetralogy of Fallot) after cardiac catheterization.</div>
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Question: What is this catheter-induced rhythm?</div>
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/06/quiz-18-answer-ekg-av-block-second.html" target="_blank">Link to answer</a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLNnqSZuWZUWw4mvtzDioy2oZXRwfyjmGCD7bhVWU94MzDlFhkqUA5aeouTHD48ocg-JIIeGa5CPOqS6Qg942s7Xj5opRdr2FBCkhVVf9IxLDVZXw-WY2oDgty1BDfaBlLN05CNo0v6Fg/s1600/AVblockSecDegreeCathInducedRhythmStrip.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="175" qba="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLNnqSZuWZUWw4mvtzDioy2oZXRwfyjmGCD7bhVWU94MzDlFhkqUA5aeouTHD48ocg-JIIeGa5CPOqS6Qg942s7Xj5opRdr2FBCkhVVf9IxLDVZXw-WY2oDgty1BDfaBlLN05CNo0v6Fg/s320/AVblockSecDegreeCathInducedRhythmStrip.png" width="320" /></a></div>Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com2tag:blogger.com,1999:blog-4458689789924166817.post-70791702499853945242012-05-19T09:26:00.003-07:002012-05-26T09:38:38.280-07:00Quiz #17: Arterial pulse trace<div class="separator" style="clear: both; text-align: center;">
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Below is ICU monitor display for a teen ager. </div>
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Question 1: What is the name of the pulse for the pattern shown in the arterial line trace?</div>
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Question 2: Name 3 causes for this pattern of pulse in any patient?</div>
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/05/below-is-image-of-icu-monitor-of-teen.html" target="_blank">Link to the answer.</a></div>
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Image below is M-mode recording in parasternal short axis view, in a patient with pericardial effusion. What ominous sign is being demonstrated in this image?</div>
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/05/quiz-16-answer-echocardiogram.html" target="_blank">Link to answer</a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyFr3EohBhCiL_v5KcT1jxNlCcHoV477nA9EsKON5O7R4Jziq0IvrhW3TngTfNyM2RjL3yp-gANTKj5-aNP616dJdJstwF0KXcEqgXTwv0bgqaGeWUN7Pl6bmb1ovnRpiZjUI6o0-TJ1Y/s1600/ParasternalShortAxisViewMmode.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="293" kba="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyFr3EohBhCiL_v5KcT1jxNlCcHoV477nA9EsKON5O7R4Jziq0IvrhW3TngTfNyM2RjL3yp-gANTKj5-aNP616dJdJstwF0KXcEqgXTwv0bgqaGeWUN7Pl6bmb1ovnRpiZjUI6o0-TJ1Y/s320/ParasternalShortAxisViewMmode.bmp" width="320" /></a></div>Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-16305793977383286032012-05-06T06:37:00.003-07:002012-05-15T12:23:13.170-07:00Quiz #15: 12-lead EKG - Inverted P<div class="separator" style="clear: both; text-align: left;">
Question: What is the diagnosis for the inverted P?</div>
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(Clue: You may compare with the EKG in Quiz #14)</div>
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Click on the image to enlarge.</div>
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<a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/05/quiz-15-12-lead-ekg-inverted-p-in-lead.html" target="_blank"><strong>Link to the answer</strong></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1GrVjN58-rgCsnXW0EVgv1RnBKMqAP5FkPC-f3n0qas6rHu9Cs2CcCHb3ryybxBCkpxkDNtqH-uxPqzg0AyZf2uJWdd6iTfakJ4fmGqtx8C51J37Gm2hgHC8OFcyGhNU2tSX3de2qKHc/s1600/EKGQuizInvertedPEtc.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="177" mea="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1GrVjN58-rgCsnXW0EVgv1RnBKMqAP5FkPC-f3n0qas6rHu9Cs2CcCHb3ryybxBCkpxkDNtqH-uxPqzg0AyZf2uJWdd6iTfakJ4fmGqtx8C51J37Gm2hgHC8OFcyGhNU2tSX3de2qKHc/s320/EKGQuizInvertedPEtc.jpg" width="320" /></a></div>Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0tag:blogger.com,1999:blog-4458689789924166817.post-59239142269992783212012-04-29T09:54:00.003-07:002012-05-06T06:33:22.379-07:00Quiz #14: 12-lead EKG<div class="separator" style="clear: both; text-align: left;">
Question 1: What is the diagnosis?</div>
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Question 2: Please provide 2 salient findings that support the diagnosis.</div>
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(Click on the image for enlarge)</div>
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<strong><a href="http://pedicardiologyquizanswers-bala.blogspot.com/2012/05/quiz-14-ekg-inverted-p-wave-in-lead-i.html">Link to the answer</a></strong></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgluD8a4p9x-_STqIoxN1UvK_U8gCvglIP03oWr2Rv3gyBfKwlXuWUczWZQNwXtxdWM_Ym5APYw5WXAIw2WmBlGJfH0Xr5leuIBJ1Db4VkmVsZR9CJt6dNGH40G3U4vLdVpymSkFbhGq0Q/s1600/Quiz14EKG.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="202" oda="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgluD8a4p9x-_STqIoxN1UvK_U8gCvglIP03oWr2Rv3gyBfKwlXuWUczWZQNwXtxdWM_Ym5APYw5WXAIw2WmBlGJfH0Xr5leuIBJ1Db4VkmVsZR9CJt6dNGH40G3U4vLdVpymSkFbhGq0Q/s320/Quiz14EKG.jpg" width="320" /></a></div>Balahttp://www.blogger.com/profile/15733753013309416857noreply@blogger.com0