A 3-month-old baby girl is brought in for a wellness check. The mother reports that the baby has an issue where she ‘turns blue’ while crying. Which of the following congenital heart diseases is most likely responsible for these symptoms and involves right-to-left shunting?
A 42-year-old male patient presents to the cardiologist’s office with complaints of palpitations. He has a history of prior surgeries for the repair of Tetralogy of Fallot. Which of the following is the most appropriate annual test to monitor this patient?
Which of the following medications is recommended for a high-risk 6-month-old with Tetralogy of Fallot during the fall and winter season to prevent severe respiratory syncytial virus (RSV) infection?
Which of the following congenital heart defects is associated with an increased risk of sudden cardiac death?
A 5-month-old male infant is brought to your clinic for a follow-up appointment. Mother reports that the boy has had several viral and fungal infections since his birth and she has noticed that he often is stiff and rigid. On examination you notice the boy has a small jaw, cleft palate, hypertelorism, slanting palpebral fissures, and short philtrum. When you tap on his facial nerve, you notice twitching of the facial muscles. Laboratory testing demonstrates hypocalcemia, decreased levels of parathyroid hormone, and absence of serum T cells. Chest x ray is significant for the absence of thymic shadow. Fluorescence in situ hybridization (FISH) study reveals a microdeletion of chromosome 22 at the 22q11.2 locus. Of the following, which is most likely observed in babies with this disorder?
A 20 year-old male presents to your primary care office complaining of dyspnea on exertion, chest pain, and palpitations. On physical examination, you find cyanosis and clubbing in his left upper extremity and both lower extremities. You suspect patent ductus arteriosus in this patient. What type of murmur would you expect to hear in this patient?
