同學真的這麼想挑戰沒報的章節阿...
我都忘得差不多了..出題目真痛苦...
1.Which one is the most common cardiac malformation?
(A)Atrial Septal Defect
(B)Ventricular Septal Defect
(C)Tetralogy of Fallot
(D)Endocardial Cushion Defect
(E)Patent Ductus Arteriosus
2.Which of the following statements is right?
(A)The most type of VSD is the membranous type, which may be more associated
with other manifestations of the tetralogy of Fallot than the other VSD
types.
(B)The muscular type of VSD are less common.It is just beneath the pulmonary
valve and may impinge on an aortic sinus and cause aortic insufficiency.
(C)Swiss cheese septum is more related to the supracristal type.
(D)VSD Between the crista supraventricularis and the papillary muscle of the
conus may be associated with pulmonary stenosis.
(E)None of above.
3.Which of the following statements about a VSD patient is wrong?
(A)If the left-to-right shunt is small (Qp:Qs <1.75:1), the cardiac chambers
are not appreciably enlarged and the pulmonary vascular bed is probably
normal.
(B)In a nonrestrictive VSD patient, the direction of shunting and shunt
magnitude are determined by the ratio of pulmonary to systemic vascular
resistance (Rp/Rs)
(C)If the shunt is large (Qp:Qs >2:1), patient's LA & LV volume overload
occurs, as does RV & pulmonary arterial hypertension.
(D)In some infants with a large VSD, pulmonary vascular obstructive disease
develops. When the ratio of pulmonary to systemic resistance approaches
1:1, the shunt becomes bidirectional, the signs of heart failure abate,
and the patient becomes cyanotic.
(E)All of above are right.
4.About Indications for surgical closure of a VSD, which one is wrong?
(A)Patients at any age with large defects in whom clinical symptoms and
failure to thrive cannot be controlled medically.
(B)Severe pulmonary vascular disease.
(C)Patients older than 24 m/o with a Qp:Qs ratio greater than 2:1.
(D)Patients with supracristal VSD of any size
(E)ALL of above are right
5.Which one may be less useful for diagnosis of a VSD?
(A) Chest radiograph
(B) Electrocardiogram
(C) Two-dimensional echocardiogram
(D) Cardiac catheterization
(E) Computed tomography
答案：B D E B E
還是希望這部分不要被選用啦><
PPT:
JC：共筆FTP /小兒/Book Reading/EF組 檔名 VSD NeLi.ppt
SC：http://backup.mc.ntu.edu.tw/onlyntu/20050528/ 檔名 VSD NeLi.ppt
這個好像只能放三天...
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