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

{“questions”:{“0ot6i”:{“id”:”0ot6i”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anna Hartzog MD and Chinwe Unegbu MD \u2013 Children\u2019s National Hospital \r\nA 14-year-old male adolescent patient with severe idiopathic pulmonary hypertension presents for right heart catheterization. As compared to a similar aged patient with repaired Tetralogy of Fallot and residual severe pulmonary valve stenosis, which echocardiographic feature MOST ACCURATELY describes the adaptation of the right ventricle in this patient with idiopathic pulmonary hypertension?”,”desc”:””,”hint”:””,”answers”:{“b33vr”:{“id”:”b33vr”,”image”:””,”imageId”:””,”title”:”A. Decreased transverse right ventricular shortening”,”isCorrect”:”1″},”qorfs”:{“id”:”qorfs”,”image”:””,”imageId”:””,”title”:”B. Increased longitudinal right ventricular deformation”},”w7e5u”:{“id”:”w7e5u”,”image”:””,”imageId”:””,”title”:”C. Mild apical right ventricular dilation “},”in3pk”:{“id”:”in3pk”,”image”:””,”imageId”:””,”title”:”D. Increased left ventricular end diastolic volume\r\n\r\n”}}}},”results”:{“1u3yl”:{“id”:”1u3yl”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/07\/CCAS-QOW-Posted-7-14-2022.pdf”}}}

{“questions”:{“fuyda”:{“id”:”fuyda”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anna Hartzog MD and Chinwe Unegbu MD \u2013 Children\u2019s National Hospital \r\nA 16-year-old male with a BMI of 60.1 kg\/m2 presents for sleeve gastrectomy. During his preoperative exam, a III\/VI systolic ejection murmur is auscultated. He indicates that he has been having chest pain and dyspnea on exertion. A transthoracic echocardiogram demonstrates a bicuspid aortic valve, moderate aortic stenosis, mild aortic insufficiency, mild left ventricular (LV) dysfunction, and a LV ejection fraction (EF) of 52%. What is the STRONGEST indication for aortic valve repair prior to sleeve gastrectomy in this patient?”,”desc”:””,”hint”:””,”answers”:{“zm8yp”:{“id”:”zm8yp”,”image”:””,”imageId”:””,”title”:”A. Left ventricular dysfunction with EF of 52%”},”wso7z”:{“id”:”wso7z”,”image”:””,”imageId”:””,”title”:”B. Moderate aortic stenosis”},”lp15h”:{“id”:”lp15h”,”image”:””,”imageId”:””,”title”:”C. Exertional chest pain”,”isCorrect”:”1″},”skxr3″:{“id”:”skxr3″,”image”:””,”imageId”:””,”title”:”D. Mild aortic insufficiency”}}}},”results”:{“dnd4s”:{“id”:”dnd4s”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/07\/CCAS-QOW-Posted-7-7-2022.pdf”}}}

{“questions”:{“ikmyu”:{“id”:”ikmyu”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA – Children\u2019s Medical Center, Dallas, TX. \r\n\r\nA nine-month-old male infant with severe idiopathic pulmonary hypertension (PHTN) on maximal medical therapy is dyspneic with feeding and has failure to thrive. He is on 1 L nasal cannula oxygen and baseline room air oxygen saturation is 88%. Which of the following is the MOST APPROPRIATE immediate intervention to improve survival to lung transplantation?”,”desc”:””,”hint”:””,”answers”:{“eoy36”:{“id”:”eoy36″,”image”:””,”imageId”:””,”title”:”A.\tInsertion of patent ductus arteriosus stent”},”y8tam”:{“id”:”y8tam”,”image”:””,”imageId”:””,”title”:”B.\tRight ventricular assist device implantation”},”k0y39″:{“id”:”k0y39″,”image”:””,”imageId”:””,”title”:”C.\tInsertion of Potts shunt”,”isCorrect”:”1″},”drp8v”:{“id”:”drp8v”,”image”:””,”imageId”:””,”title”:”D.\tAtrial septostomy”}}}},”results”:{“9nlrl”:{“id”:”9nlrl”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/06\/CCAS-QOW-Posted-6-30-2022.pdf”}}}

{“questions”:{“4cczh”:{“id”:”4cczh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Children\u2019s Medical Center, Dallas TX \r\n\r\nA 12-year-old previously healthy male child from Tibet complains of feeling unwell while visiting relatives in the US. A moderately loud murmur is auscultated on physical exam. Vital signs are unremarkable. Which of the following lesions is MOST LIKELY to be present on a transthoracic echocardiogram?”,”desc”:””,”hint”:””,”answers”:{“4fomt”:{“id”:”4fomt”,”image”:””,”imageId”:””,”title”:”A.\tVentricular septal defect”},”ztdif”:{“id”:”ztdif”,”image”:””,”imageId”:””,”title”:”B.\tPatent ductus arteriosus”,”isCorrect”:”1″},”d8n9t”:{“id”:”d8n9t”,”image”:””,”imageId”:””,”title”:”C.\tTetralogy of Fallot”},”dbacc”:{“id”:”dbacc”,”image”:””,”imageId”:””,”title”:”D.\tCoarctation of the aorta”}}}},”results”:{“p43yd”:{“id”:”p43yd”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/06\/CCAS-QOW-Posted-6-23-2022.pdf”}}}

{“questions”:{“etj9y”:{“id”:”etj9y”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Children\u2019s Medical Center, Dallas TX \r\n\r\nA 4-month-old infant with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), severe mitral regurgitation, and a dilated left ventricle with severely diminished ventricular function is admitted to the cardiac ICU in severe congestive heart failure. The mitral valve papillary muscles are noted to be echo-bright. In patients with ALCAPA, which of the following co-existing lesions is MOST LIKELY to be associated with a less severe degree of myocardial ischemia?\r\n”,”desc”:””,”hint”:””,”answers”:{“v1pw3”:{“id”:”v1pw3″,”image”:””,”imageId”:””,”title”:”A. Mitral regurgitation”},”1ryqp”:{“id”:”1ryqp”,”image”:””,”imageId”:””,”title”:”B. Atrial septal defect”},”8eozs”:{“id”:”8eozs”,”image”:””,”imageId”:””,”title”:”C. Ventricular septal defect”,”isCorrect”:”1″},”co6p5″:{“id”:”co6p5″,”image”:””,”imageId”:””,”title”:”D. Pulmonary stenosis”}}}},”results”:{“uu0pn”:{“id”:”uu0pn”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/06\/CCAS-QOW-Posted-6-16-2022.pdf”}}}