MRCP UK EXAMINATIONS

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CARDIOLOGY

EISENMENGER S SYNDROME

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
month-old male. History of moderate-size ventricular septal defect. Feeding poorly for the last few days. During feedings the infant coughs and SOB. Mild subcostal retractions. Fine bilateral crackles. Precordium active. Grade 3/6 holosystolic murmur, maximal at lower left sternal border. Liver palpable 3 cm below right costal margin.The medication MOST likely to provide significant clinical improvement is oral:
A
Captopril
B
Carvedilol
C
Digoxin
D
Furosemide
E
Spironolactone
Explanation: 

Detailed explanation-1: -Try to use a soft, special nipple made for babies born early. These nipples make it easier for your baby to get enough formula or breast milk if you bottle-feed. Burp your baby a lot, especially when using a bottle. Babies who have trouble sucking take in large amounts of air when they eat.

Detailed explanation-2: -Babies and children with larger VSDs often have symptoms such as breathing faster and harder than normal. Very small holes in the ventricular septum may not let much blood pass between the ventricles. In these cases, the heart and lungs don’t have to work harder. Sometimes these small holes will close up on their own.

Detailed explanation-3: -Infants with a large VSD can develop heart failure, and have feeding problems that lead to poor weight gain. They also may get chest infections often. Children with a small VSD are at risk for developing endocarditis, an infection of the inner surface of the heart caused by bacteria in the bloodstream.

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