Congenital Lung Malformations – Board-Style Questions

What this deck covers

Congenital Lung Malformations in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A ratio at 24 weeks
2. No cysts and fluid
3. One big cyst
4. Where to deliver
5. Breathless from birth
6. The injection
7. Found at hernia repair
8. Sweating with feeds
9. Tie it first
10. A lucent lobe in a well baby
11. Induction in theatre
12. A wheeze on one side
13. A well girl with a shadow
14. Fluid in the cysts
15. A primitive layer
16. Two schools
17. Now or later
18. Keyhole or open

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Whether the lesion has an artery from the aorta, Open fetal surgery to remove the lesion now, Drainage of the cyst with a thoracoamniotic shunt, At the surgical centre, by planned caesarean, Discharge once settled, with a CT at three months, To look for an artery arising from the aorta, It has an artery arising from the aorta, Viral myocarditis with a dilated left ventricle, Needle aspiration of the lucent lobe to relieve it, Generous positive pressure to open the other lung, An inhaled peanut lodged in the left main airway, Complete surgical excision, although she is well, Emergency lobectomy tonight while it is infected, Chemotherapy started at once for a lung sarcoma.

Clinical pearls from this deck

• A big lesion for the size of the fetus is the one that tips it into hydrops.
• Solid lesion with hydrops: steroids to the mother before any needle or knife.
• One big cyst with hydrops: drain it into the amniotic fluid.
• Small and quiet in pregnancy: deliver locally, but image the baby.
• Symptoms at birth end the surveillance debate: operate before discharge.
• The contrast is there to find the artery the surgeon must not miss.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Respiratory case decks · pediatric reference values.