Total Anomalous Pulmonary Venous Drainage – Board-Style Questions

What this deck covers

total anomalous pulmonary venous drainage 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. After a normal scan
2. Obstructed
3. The commonest route
4. The type that obstructs
5. A later presentation
6. Why the hole matters
7. The same everywhere
8. What the echo shows
9. A wider pattern
10. Protecting her
11. Breathless again
12. The first nights
13. Follow-up
14. The outlook
15. Later in life
16. When to operate
17. Another baby
18. When the veins narrow again

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: It is always seen clearly at the 20-week scan, Emergency surgical repair of the veins, Infracardiac drainage below the diaphragm, Cardiac drainage into the coronary sinus, Mild cyanosis with heart failure at a few weeks, It lets blood leave the left atrium for the lungs, Right-to-left flow across the duct, A large ventricular septal defect below the valves, Right atrial isomerism with asplenia, Avoid all live vaccines for the rest of her life, A normal recovery pattern after neonatal surgery, Seizures from low calcium after the bypass, Regular echocardiograms through the first year, He will need a heart transplant later.

Clinical pearls from this deck

• A normal fetal scan does not exclude TAPVD.
• Obstructed TAPVD: straight to theatre.
• Up through a vertical vein: supracardiac TAPVD.
• Below the diaphragm: usually obstructed.
• TAPVD at six weeks: heart failure, mildly blue.
• In TAPVD, the atrial septum is the only way to the left heart.

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.