Examination  - Self Assessment Questions

a) Listen to the chest first if the child is quiet
b) Leave the bra on for teenage girls to avoid embarrassment
c) Take the blood pressure first
d) Use the pedal pulses to exclude coarctation
e) Check cardiac enlargement by percussion of the heart

a) Tetralogy of Fallot
b) Double outlet right ventricle
c) Doubly committed subarterial VSD
d) Pulmonary AV malformation
e) Right atrioventricular valve atresia

a) A thrill implies a murmur 5/6 or more
b) A left parasternal heave indicates left ventricular hypertrophy
c) A diastolic murmur is never loud enough to cause a thrill
d) An active precordium in a VSD implies a shunt greater then 2:1
e) A palpable second heart sound is always due to pulmonary hypertension

a) A family history is uncommon
b) Murmur increases in intensity on lying
c) A thrill may sometimes be felt
d) Usually loudest at the lower left sternal edge
e) Unusual to hear it if the body mass index is more than 24

a) Atrial septal defect
b) Patent ductus arteriosus
c) Coarctation of the aorta
d) Peripheral pulmonary stenosis
e) Aortic stenosis

a) Coarctation
b) Pulmonary stenosis with regurgitation
c) Patent ductus arteriosus
d) Venous hum
e) Modified Blalock Taussig shunt

a) The first heart sound is usually single
b) In pulmonary stenosis the second heart sound is widely split
c) The second heart sound is loud in transposition
d) A third heart sound is common in children
e)  A fourth heart sound may be normal

a) The patients clinical state
b) Position
c) Loudness
d) Timing
e) Radiation