MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A two-month-old is showing signs and symptoms of heart failure. An echocardiogram is ordered. The test shows the infant has ventricular septal defect (VSD). Which statement below best describes the blood flow in the heart due to this congenital heart defect.
A
“The blood in the heart is shunting from the right ventricle to the left ventricle, which is increasing pulmonary blood flow.”
B
“The blood in the heart is shunting from the left ventricle to the right ventricle, which is decreasing pulmonary blood flow.”
C
“The blood in the heart is shunting from the left ventricle to the right ventricle, which is increasing pulmonary blood flow.”
D
“The blood in the heart is bypassing the left ventricle and is being shunted to the right ventricle, which is decreasing lung blood flow.”
Explanation: 

Detailed explanation-1: -A ventricular septal defect (pronounced ven·tric·u·lar sep·tal de·fect) (VSD) is a birth defect of the heart in which there is a hole in the wall (septum) that separates the two lower chambers (ventricles) of the heart.

Detailed explanation-2: -Echocardiogram. This is the most commonly used test to diagnose a ventricular septal defect. Sound waves are used to create pictures of the heart in motion. An echocardiogram can show how well blood is moving through the heart and heart valves.

Detailed explanation-3: -Children born with a VSD have a hole in the heart wall, called the septum, that separates the left and right lower chambers, called the ventricles. If the hole is large, too much blood is pumped into the lungs, making the heart work harder than normal. This may lead to congestive heart failure.

Detailed explanation-4: -The murmur of VSD is typically pan-systolic best heard in the left lower sternal border; it is harsh and loud in small defects but softer and less intense in large ones. Handgrips increase afterload, increasing the strength of the murmur. Infundibular defects are best heard in the pulmonic area.

There is 1 question to complete.