23. Murmur in congenital heart disease are already audible at birth, in which disease?

a. PDA
b. ASD
c. VSD
d. PFO
e. Pulmonary Stenosis

Sumber : Myung

24. The most optimal for operation of complete Atrioventricular Septal Defect (CAVSD) is in the
age :
a. In the age of 2 weeks
b. Age between 3-6 months
c. Age between 6-12 months
d. Age between 1-2 years

Operasi idealnya dilakukan pada CAVSD pada umur 3 bulan sebelum umur 6 bulan
untuk menghindari terjadinya hipertensi pulmonal

Sumber : Jurnal Kesehatan Andalas

25. Egg on shape on chest X-ray is seen in :

a. TOF : boot shape

b. -
c. TGA : egg on side

d. TAPVD (Total Anomalous Pulmonary Venous Drainage) : figure of eight / snowmans

appearance
e. DORV

26. Characteristic ECG feature of hyperkalemi is

a. U waves
b. Narrow QRS complex
c. Tall T waves
d. Short PR interval
e. Arhytmia
27. The severity of cyanosis in TOF is proportional to the severity of
a. VSD
b. Overriding aorta
c. Pulmonary stenosis
d. Pulmonary Hypertension
e. Right ventricle Hypertrophy

4 kombinasi TOF : VSD, overriding aorta, stenosis pulmonal, RVH

Komponen yang paling penting yang menentukan derajat beratnya penyakit adalh stenosis
pulmonal. Stenosis pulmonal ini bersifat progresif, makin lama makin berat.
Sumber : Penanganan Penyakit Jantung pada Bayi dan Anak IDAI

28. The congenital defect of the heart most commonly seen in congenital rubella syndrome is
a. TOF
b. PDA
c. VSD
d. ASD
e. Pulmonary Stenosis

Sumber : Myung

29. The essential features for the diagnosis of rheumatic fever are
a. Recent streptococcal infection
b. 4 minor criteria
c. 2 major criteria
d. All major criteria
e. All minot criteria
Sumber : Myung

53. Drugs that be used in management congenital heart disease as definitive treatment is:
a. Digoxin in VSD
b. Ibuprofen in PDA
c. Furosemid in ASD
d. Spironolakton in RHD
e. Captopril in Pulmonary hypertension

Sumber: Myung
54. A baby, 8 months comes with chief complaint of fever 7 days ago. On physical examination
found she is irritable, eye hyperemia, rash on the skin, enlargement of limph node on the neck
size 1,5 mm, erythema on hand and foot. The most probable diagnosis is:
a. Measles
b. Scarlet fever
c. Rubella
d. Kawasaki disease
e. Acute rheumatic fever

Sumber: Myung

55. A female, 12 years old come with chief complaint of palpitation. On auscultation found wide
and fixed split 2nd heart sound, and ejection systolic murmur heard on 2nd intercostal space left
parasternal line. ECG shows right ventricular hypertrophic. Chest x-rays show CTR 0,8 and apex
downward. The most probable diagnosis is:
a. Pulmonary stenosis
b. ASD
c. ToF
d. Aortic stenosis
e. Persisten foramen ovale

Sumber: Myung

56. A baby, 8 months old, body weight 6 kg, come with chief complaint irritable, there is feeding
problem. She is alert, heart rate 250 times per minute, murmur nor clear. ECG showed heart
rate 250 times per minute, narrowed QRS complex, no P wave. The management is:
a. Cardioversion
b. Digoxin
c. Verapamil
d. Adenosine
 e. Amiodaron

Sumber: Myung

67. Heart auscultation of atrial septal defect (ASD) reveals:

a. Widely split and fixed S2
b. A narrowly split S2
c. A single S2
d. A paradoxical split S2
e. Normal splitting S2

Sumber: Myung

68. The most common and earliest valvular lesion in rheumatic fever is:
a. Mitral stenosis
b. Mitral insufficiency
c. Aortic stenosis
d. Aortic insufficiency
e. Tricuspid insufficiency
Sumber: Myung

69. The most common cause of dilated pulmonal artery in children is:
a. Stenosis of the pulmonary valve
b. Patent ductus arteriosus
c. Ventricular septal defect
d. Atrial septal defect
e. Truncus arteriosus