UPSC CMS Pediatrics - Pediatric Cardiology
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Which of the following is the most likely diagnosis for a two-day-old neonate with cyanosis, single second heart sound, and pansystolic murmur on the left sternal border, and ECG revealing left axis deviation, right atrial overload, and left ventricular hypertrophy?
Tetrology of Fallot
Tricuspid atresia
Transposition of great arteries
Total anomalous pulmonary venous connection
A seven-year-old child presents with intermittent claudication, pain and weakness of legs, and dyspnea on running. Examination shows delayed and weak femorals compared to brachial arteries. The heart size is normal with a left ventricular forcible apex. The most probable diagnosis is:
Ventricular septal defect
Patent ductus arteriosus
Atrial septal defect
Coarctation of the aorta
In case of hypertensive emergency in a child, blood pressure should be reduced by up to:
Which of the following are used in the management of hyperkalemia ?
1. 10% calcium gluconate intravenously
2. Regular insulin and intravenous glucose
3. Nebulized ipratropium bromide
4. Intravenous sodium bicarbonate
Select the correct answer using the code given below:
A 5 year old boy is brought to the Emergency Room following a crushing injury. The ECG reveals peaked T waves, prolonged PR interval and widened QRS complexes. Which of the following treatments should be administered immediately?
Sodium bicarbonate infusion
Intravenous bolus procainamide
Insulin infusion
Intravenous magnesium sulphate