Ebstein Anomaly – Board-Style Questions

Ebstein Anomaly — Board-Style Questions
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Pediatric Case ReviewBoard-Style Questions
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What this deck covers

Ebstein anomaly 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. Getting pinker
  2. A huge heart
  3. What the scan shows
  4. A related rhythm problem
  5. A medicine before birth
  6. No forward flow
  7. Buying time
  8. Before birth
  9. Found by chance
  10. Rebuilding the valve
  11. Measuring limitation
  12. Recurrent fast heartbeats
  13. Planning a family
  14. What you hear
  15. Helping the right heart
  16. The ECG
  17. A paradoxical stroke
  18. A wide spectrum

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Spontaneous closure of the atrial septum, A massive right atrium from the leaking valve, Absence of the tricuspid valve altogether, Congenital complete heart block from maternal antibodies, Lithium taken in early pregnancy, A pulmonary valve fused shut from birth, Immediate valve replacement, The baby’s sex, Observation with regular review, A Fontan operation, A resting ECG in the clinic room, Lifelong beta blockers at the highest dose, Her cyanosis from right-to-left atrial shunting, Mitral valve prolapse with a late click.

Clinical pearls from this deck

  • Newborn Ebstein: pinker as lung resistance falls.
  • A wall-to-wall heart means severe Ebstein.
  • Ebstein: the septal leaflet sits too low.
  • Ebstein with a delta wave: look for pathways.
  • Lithium in early pregnancy: think Ebstein.
  • A normal valve with no flow: functional atresia.

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.

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