Congenital Cardiac Anesthesia Society
A Section of the the Society for Pediatric Anesthesia

{“questions”:{“79e15”:{“id”:”79e15″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Stephanie Grant, MD \u2013 Emory University and Children\u2019s Healthcare of Atlanta \r\n\r\nA three-week-old female with supravalvular aortic stenosis, peripheral pulmonary artery stenosis, and dysmorphic facial features consistent with an elfin-like face is being evaluated prior to supravalvular aortic stenosis repair. A transthoracic echocardiograph demonstrates narrowing of the aorta at the sinotubular junction with a supravalvular aortic gradient of 90 mmHg and normal coronary arteries. Results of genetic testing are pending. Which of the following electrolyte abnormalities would you MOST LIKELY expect on this patient\u2019s pre-operative labs?”,”desc”:””,”hint”:””,”answers”:{“zmjvj”:{“id”:”zmjvj”,”image”:””,”imageId”:””,”title”:”A. Hypoglycemia “},”wh6hi”:{“id”:”wh6hi”,”image”:””,”imageId”:””,”title”:”B. Hypocalcemia”},”e1ym0″:{“id”:”e1ym0″,”image”:””,”imageId”:””,”title”:”C. Hypercalcemia”,”isCorrect”:”1″},”clo8h”:{“id”:”clo8h”,”image”:””,”imageId”:””,”title”:”D. Hypernatremia”}}}},”results”:{“heel0”:{“id”:”heel0″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/11\/CCAS-QOW-Posted-11-17-2022.pdf”}}}

{“questions”:{“vl96q”:{“id”:”vl96q”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Christopher Busack, MD and Daniela Perez-Velasco, DO \u2013 Children\u2019s National Hospital \r\nA 3-year-old male child with heterotaxy syndrome is scheduled for the Fontan procedure. Which of the following anatomic configurations is MOST LIKELY to be associated with the lowest transplant free survival after the Fontan procedure?”,”desc”:””,”hint”:””,”answers”:{“qq6u5”:{“id”:”qq6u5″,”image”:””,”imageId”:””,”title”:”A. Situs inversus totalis”},”s9de1″:{“id”:”s9de1″,”image”:””,”imageId”:””,”title”:”B. Left isomerism”},”8hv5l”:{“id”:”8hv5l”,”image”:””,”imageId”:””,”title”:”C. Right isomerism”,”isCorrect”:”1″},”vih0e”:{“id”:”vih0e”,”image”:””,”imageId”:””,”title”:”D. Situs solitus\r\n\r\n”}}}},”results”:{“pps2l”:{“id”:”pps2l”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/11\/CCAS-QOW-Posted-11-10-2022.pdf”}}}

{“questions”:{“rayb8”:{“id”:”rayb8″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Dallas, TX \r\nAn 8-month-old male infant is status post repair of a large perimembranous ventricular septal defect (VSD). After separation from cardiopulmonary bypass, the patient has the following vital signs: heart rate 130, blood pressure 80\/45, and pulse oximetry 99% with a fractional inspired oxygen (FiO_{2<\/sub>) of 0.25. The post-repair transesophageal echocardiogram (TEE) reveals a small residual VSD. In order to determine if the VSD is hemodynamically significant, the surgeon samples blood from the superior vena cava (SVC) and the main pulmonary artery (PA), resulting in oxygen saturations of 60% and 80% respectively. What is the Qp:Qs?”,”desc”:””,”hint”:””,”answers”:{“n0fvy”:{“id”:”n0fvy”,”image”:””,”imageId”:””,”title”:”A. 1:1″},”jmf93″:{“id”:”jmf93″,”image”:””,”imageId”:””,”title”:”B. 2:1″,”isCorrect”:”1″},”a76xd”:{“id”:”a76xd”,”image”:””,”imageId”:””,”title”:”C. 3:1″},”637mm”:{“id”:”637mm”,”image”:””,”imageId”:””,”title”:”D. Cannot be calculated with the given information”}}}},”results”:{“gtnc6”:{“id”:”gtnc6″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/11\/CASS-QOW-Posted-11-3-2022.pdf”}}}}

{“questions”:{“44duu”:{“id”:”44duu”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah MB ChB, FRCA \u2013 Dallas TX \r\n\r\nA 12-year-old male child is admitted to the cardiology service with frequent palpitations and dizziness. He is awake, alert and hemodynamically stable. A 12-lead ECG is performed. Which of the following types of congenital heart disease is MOST associated with supraventricular tachycardia secondary to an accessory pathway?”,”desc”:””,”hint”:””,”answers”:{“4xnv9”:{“id”:”4xnv9″,”image”:””,”imageId”:””,”title”:”A.\tCongenitally corrected transposition of the great arteries”},”axet3″:{“id”:”axet3″,”image”:””,”imageId”:””,”title”:”B.\tEbstein\u2019s anomaly”,”isCorrect”:”1″},”uxses”:{“id”:”uxses”,”image”:””,”imageId”:””,”title”:”C.\tLeft atrial isomerism”},”qyfdb”:{“id”:”qyfdb”,”image”:””,”imageId”:””,”title”:”D.\tRepaired Tetralogy of Fallot with a right ventricular to pulmonary artery conduit “}}}},”results”:{“onj1q”:{“id”:”onj1q”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/10\/CCAS-QOW-Posted-10-26-2022.pdf”}}}

{“questions”:{“l10fn”:{“id”:”l10fn”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA – Dallas, TX \r\n\r\nA 16-year-old adolescent male with a history of dilated cardiomyopathy is transferred to the cardiac intensive care unit from the emergency room due to persistent \u201clow flow\u201d alarms on a Heartmate 3 left ventricular assist device (LVAD). On examination, he appears fatigued with a heart rate of 130 in sinus tachycardia. A transthoracic echocardiogram demonstrates LVAD inflow and outflow cannulas in the appropriate position and normal position of the interventricular septum. The LVAD controller is showing a low-flow alarm and a decreased pulsatility index. What is the MOST LIKELY etiology of the low-flow alarm on the LVAD?”,”desc”:””,”hint”:””,”answers”:{“s1wxc”:{“id”:”s1wxc”,”image”:””,”imageId”:””,”title”:”A. Volume overload\/Hypervolemia”},”sojt0″:{“id”:”sojt0″,”image”:””,”imageId”:””,”title”:”B. Arterial hypertension”},”rgg9j”:{“id”:”rgg9j”,”image”:””,”imageId”:””,”title”:”C. Hypovolemia”,”isCorrect”:”1″},”gs4n6″:{“id”:”gs4n6″,”image”:””,”imageId”:””,”title”:”D. Right ventricular failure”}}}},”results”:{“3e9m2”:{“id”:”3e9m2″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/10\/CCAS-QOW-Posted-10-20-2022.pdf”}}}