Cardiology – Set 7

What this deck covers

Cardiology – Set 7 in 50 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 50 cases, in order

1. Rheumatic valve, fever and big spleen
2. Looking closely at the red eyes
3. Sore throat, then flitting hot joints
4. Scan evidence that counts as major
5. Infant with a week of fever, red eyes
6. Movements only, enough for Jones?
7. Pale neonate, gallop and fast pulse
8. Counting towards a firm diagnosis
9. Least needed for a first attack
10. Six days of fever, all criteria met
11. Teen who injects heroin, likely germ
12. The tracing that fits a failing heart
13. Flitting joint pain, first-line drug
14. Rarer organism in a teen who injects
15. What each medicine does for the heart
16. Fever weeks after valve surgery
17. Grey toddler after a cold, heart scan
18. Proof of a recent throat infection
19. Tender toe-pulp nodules, which group
20. Still febrile after the first dose
21. Fidgety girl, normal strep titres
22. Grey infant, the test to do first
23. Before the first intravenous dose
24. Coronary risk figures for parents
25. Line-fed infant, bulky vegetation
26. Looking for silent heart involvement
27. Tender lump below the right ribs
28. Stopping another attack
29. Slow illness after dental work
30. Valve most at risk in a first episode
31. A sign that argues against it
32. Cold, drowsy child in intensive care
33. Cavitating lung nodules on day 3
34. Disabling movements, drug choice
35. Few signs, deciding to treat today
36. Why the drip runs for weeks
37. Newborn heart, the likely organism
38. Rheumatic carditis with a big liver
39. Lengthening PR on a prosthetic valve
40. What makes the first scan positive
41. Dental cover, who qualifies
42. Blood in the stool, vessel imaging
43. Murmur louder on breathing in
44. Heart unaffected, how long to protect
45. Mechanical valve and the dentist
46. Shock persisting on two inotropes
47. Plan after the fever has gone
48. Breathless teen with an apical rumble
49. New heart block during treatment
50. Large coronary bulge at three weeks

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Recurrence of acute rheumatic fever, A small pericardial effusion, Supraventricular tachycardia, IVIG 2 g/kg as one infusion, with aspirin, High-dose aspirin or naproxen, Coagulase-negative staphylococci, Vascular minor criterion, Chest radiograph, Listeria monocytogenes, Tonsillectomy once the illness has settled, Redness and crusting at the BCG scar, Sodium valproate, Group B streptococcus, Left coronary Z score of 1.8.

Clinical pearls from this deck

• Fever with a new or changing murmur in a child with heart disease: blood cultures before antibiotics, every time.
• Red eyes, no discharge, and a pale ring round the cornea: think of this vasculitis.
• Migratory, very painful large-joint arthritis 2 to 4 weeks after a sore throat: think rheumatic fever first.
• Vegetation, abscess, new dehiscence or new regurgitation: the imaging major criterion.
• An infant with a week of unexplained fever needs Kawasaki disease considered even with few principal features.
• Chorea is the one manifestation that can diagnose rheumatic fever on its own.

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.