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Soal final-test untuk jantung anak :

1. A boy, 3 year and 6 months of age


admitted to out patient department due to
failure to thrive. On physical examination
there was a widely split and fixed S2 and
grade 3/6 systolic ejection murmur at 2nd
ICS . So the diagnosis of this case it could
be :
A. ASD
B. VSD
C. ASD or VSD
D. VSD or PDA
E. ASD or PDA
2. If case above we perform chest x-ray,
the result that we expected :
A. Apex downward on Posteroanterior
(PA) position
B. Increased prominence of the lower
left cardiac silhouette on PA position
C. Retrosternal space dissappeard on
lateral position
D. Main pulmonary segment was not
prominence
E. Cardiomegaly was not noted on
large defect
3. You have established your diagnosis. If
case above we should closed the defect by
using transcatheter-delivered closure
device, what kind of device we have to
use ?
A. AMPVO (Amplatzer
perimembranous ventricle occlude)
B, ADO (Amplatzer ductal occluder)
C. ASO (Amplatzer Septal Occluder)
D. Coil
E. Balloon
4. A baby 3 months of age.
Echocardiografi finding is TGA. Which
one of these statements are related to TGA
A. Hemodynamic of circulation of
TGA is series
B. The pulmonary artery originates
from right ventricle
C. On chest x-ray seen egg-shaped
D. Suspicous if neonates present
cyanotic with low birth weight
E. Murmur is not vary
5. A boy 2 year of age admitted to
hospital due to dyspnea. On physical
examination there was different pulsed felt
at upper and lower extremities. So
diagnosis of this patient is :
A. ToF
B. TGA
C. Coarchcatio aorta

D. DORV
E. ASD
6. Statement below that correlated with
VSD :
A. It heard pansystolic murmur
B. There is left ventricle and left
atrial dilatation
C. The defect closure couldnt
using amplatzer (AMPVO)
D. On chest x-ray seen apex
upturned
E. Type of CHD thats rarely
found
7. A boy, 2 years of age visit pediatric
cardiology OPD due to cyanotic since
birth. On physical examination reveals
single 2nd HS with systolic ejection
murmur is best audible at the II-III ICS
left sternal border. Lateral X-ray findings
retrosternal space disappears.
The most likely diagnosis of this patients :
A.Complete AVSD
B. TGA
C. ToF
D. DORV
E. TAPVD
8. A baby 2 days of age was born in
primary health centre with apgar score
7/10, body weight 3,6 kg. On Physical
examination there was cyanotic and
pansystolic murmur
The result of chest x-ray egg-shaped. The
diagnosis of this baby is :
A.TGA
B. TAPVD
C. ToF
D. DORV
E. Truncus arteriosus
9. A boy 3 years of age was admitted to the
hospital due to dyspnea. On physical
examinatioan revealed continous murmur
at the upper left sterna border. On
echocardiografi examination we found
PDA with distance 12,8 mm. The correct
correction for this case is :
A. Total correction
B. ADO
C. PDA ligation
D. Arterial switch
E. Fontan procedure
10. Patient with VSD pmo visit OPD. On
physical examination there was
pansystolic murmur. The result of chest xray we expected :

B.
C.
D.
E.

A. Right atrial dilatation


B. Both atrial dilatation
C. Right ventricle diatation
D. Both ventricle dilatation
E. Retrosternal space exist on
lateral view
11. A boy, 2 years of age visit pediatric
cardiology OPD. On physical examination
reveals single 2nd HS with murmur is best
audible at the II-III ICS left sternal border.
Lateral X-ray findings retrosternal space
disappears. Echocardiografi finding is
pulmonal stenotic. What kind of murmur
that we could find from this case ?
A. Mid-diastolic murmur
B. Pansystolic murmur
C. Ejection systolic murmur
D. End-diastolic murmur
E. Early diatolic murmur
12.A baby 7 days of age was born
spontaneously, crying soon after birth with
apgar score 7/10, body weight 3800
grams. Four months later look cyanotic
and we order x-ray examination of this
case. We expected the shape of the heart
on X-ray morelikely :
A. Carpet shaped
B. Egg-shaped
C. Boot-shaped
D. Peer-shaped
E. Snowman like appereance
13. A case 4 years 6 months visit OPD
because of cyanotic. On physical
examination is heard single 2nd HS and
ejection systolic murmur at ICS I-II. X-ray
result there is apical upturned with
normally pulmonal vascular marking. One
of the ECG result is p-pulmonal. On
echocardiography we found VSD
malalignment with overriding aorta. All
statement below are the clinical sign and
complication of this case :
A. Cyanotic spells
Heart abcess
Congestive heart failure
Well nourished
Breath holding spell
14. If the patients above always suffer
from cyanotic attack what we should
adviced to their parents to increased his
sistemic saturation ?
A. Total correction
B. Blalock Taussig shunt (BT
shunt)

C. Bidirectional
Cavopulmonary Shunt (BCPS)
D. Glenn operation
E. Rastelli procedure
15. Which is of the following shunt commonly
seen in fetal circulation and connect aorta
to pulmonary artery ?
A. Ductus arteriosus
B. Ductus venosus
C. Foramen ovale
D. Placenta
E. Ductus
16. Which is of the following factors that
influens ductal closure :
a. Prostaglandin (PGE2) level in circulation
b. Indomethacin concentration
c. Hypoxic after birth
d. Maturity of the newborn
e. All statement above are correct