Tuesday, May 19, 2009

Step 1 embryo q on congen heart probs? -

A 25-year-old woman gives birth to a infant at 38 weeks. The neonate has a bluish color at birth, which slowly resolves over the next hour. In the neonatal intensive care unit, the nurses notice that the infant becomes cyanotic while crying. Eventually, congestive heart failure and pulmonary hypertension develop. Which of the following congenital defects may be the cause of these findings? A. Patent ductus arteriosus B. Persistent truncus arteriosus C. Primum type atrial septal defect D. Secundum type atrial septal defect E. Ventricular septal defect

Cyanotic defects: include persistent truncus arteriosus, total anomalous pulmonary venous connection, tetralogy of Fallot, transposition of the great vessels, and tricuspid atresia. Answer is B. Truncus arteriosus is a rare type of congenital heart disease characterized by a single blood vessel arising from the right and left ventricles, instead of the normal two (pulmonary artery and aorta). There are four subtypes of truncus arteriosus, depending on the specific anatomy of the single vessel.

I can t think of the name right now...but, it s c d or e

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