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

{“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”}}}

{“questions”:{“bf7ql”:{“id”:”bf7ql”,”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 neonate is admitted to the cardiac intensive care unit with a presumptive diagnosis of heterotaxy syndrome. Which of the following characteristics is MOST LIKELY associated with right atrial isomerism (RAI) versus left atrial isomerism (LAI)?”,”desc”:””,”hint”:””,”answers”:{“dbmqa”:{“id”:”dbmqa”,”image”:””,”imageId”:””,”title”:”A. Interrupted inferior vena cava with azygos continuation”},”byz6c”:{“id”:”byz6c”,”image”:””,”imageId”:””,”title”:”B. Total anomalous pulmonary venous connection (TAPVC)”,”isCorrect”:”1″},”8kepg”:{“id”:”8kepg”,”image”:””,”imageId”:””,”title”:”C. Polysplenia”},”q6i7s”:{“id”:”q6i7s”,”image”:””,”imageId”:””,”title”:”D. Atrioventricular block”}}}},”results”:{“g7yjt”:{“id”:”g7yjt”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/06\/CCAS-QOW-Posted-6-9-2022.pdf”}}}