Transposition of the Great Arteries – Board-Style Questions

What this deck covers

transposition of the great arteries 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. At 24 hours
2. The bluest babies
3. When the duct closes
4. A side effect to expect
5. Too much flow
6. A late referral
7. A risk in pregnancy
8. Is it inherited
9. Ten days later
10. A new murmur
11. The new aorta
12. Beyond the heart
13. At the dentist
14. Playing sport
15. A different transposition
16. An older repair
17. Dizzy in adult life
18. Planning a family

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: His feeding pattern in the first day of life, The baby with an intact ventricular septum, A new pneumonia developing in the right lower lobe, Severe bleeding from the cannula sites, Heart failure as lung resistance falls, The coronary arteries will have grown far too small to move, Her age at the time of the pregnancy, It is usually caused by 22q11 deletion, Normal saturations are expected after the switch, A new ventricular septal defect after surgery, A normal growth spurt in adolescence, needing no follow-up, Reassure them, as his heart has been fully and successfully repaired, No routine antibiotic prophylaxis is needed, Avoid all sport for life.

Clinical pearls from this deck

• Transposition can look pink: oximetry screening finds it.
• Transposition with an intact septum: least mixing, bluest baby.
• Transposition deteriorating at day two: the duct is closing.
• Prostaglandin on the road: expect apnoea.
• Transposition with VSD at a month: think heart failure.
• Late switch in transposition: worry about the left ventricle.

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 cardiology case decks · pediatric reference values.