Cardiology – Set 8

What this deck covers

Cardiology – Set 8 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. Collapse on the football pitch
2. Primary or secondary, the pointer
3. Collapsing chambers on bedside scan
4. Yearly heart check in muscle disease
5. Pale skin patches and a heart scan
6. Father’s heart attack at 41
7. Tall girl with displaced lenses
8. Can she still join the academy
9. Chest pain eased by leaning forward
10. Lupus pregnancy, the watch plan
11. Fever, weight loss and a faint
12. Target organs, which study
13. Ventilated preterm, lucent band
14. Louder on standing, quieter squatting
15. Sunken chest, silent heart
16. Grey and drowsy after a saline bolus
17. Statin timing in children
18. Sister of a boy with weak muscles
19. Shocked 12 days after heart surgery
20. Who else needs a heart check
21. Under 13, the diagnostic cut-off
22. Weak pump years after chemotherapy
23. Swimmer, post-viral chest pain
24. Bouts of fast heartbeat, resting trace
25. Wheelchair user, breathless lying flat
26. Enlarging root, drug to slow it
27. More fluid for a congested child
28. Primary stage 1, the first step
29. Bedside sign with the pressure cuff
30. Thyroid result and the circulation
31. Fainted mid-race, mother died young
32. Antenatal cardiac masses
33. Football academy, the core screen
34. School team, exercise advice
35. Stabbed beside the breastbone
36. Sterile mitral nodules in lupus
37. Anaesthetic plan before spinal fusion
38. Rechecking a high school reading
39. Friction rub, which tracing fits
40. Life-threatening complication
41. Day 3 on inotropes, quieter heart
42. Screening history, warning symptom
43. Reading the neck vein waveform
44. Normal heart scan at the age of ten
45. Silent tumours, management plan
46. Timing of elective surgery
47. Collapsed at ten days, large liver
48. Which feature carries the danger
49. Anxious in clinic, calmer at home
50. Globular heart on X-ray, what next

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Hypertrophic cardiomyopathy, Exercise treadmill stress testing, Loeys-Dietz syndrome, No extra checks while her lupus is quiet, Pneumoperitoneum, Obstructive shock, Cardiac tamponade, A vasoconstrictor alone, such as noradrenaline, Restrictive cardiomyopathy, Start amlodipine straight away, Lifelong oral amiodarone therapy, Stop all exercise, including walking, Propofol infusion, Aortic dissection.

Clinical pearls from this deck

• A murmur that gets louder on standing is obstruction you make worse by emptying the ventricle.
• Every hypertensive child needs a leg pressure and a feel of the femoral pulses.
• Tamponade is drained, not diuresed or ventilated.
• Fibrosis lights up on MRI before the ejection fraction falls.
• A fetal cardiac rhabdomyoma is often the first sign of tuberous sclerosis.
• Known family variant: test the child for that variant.

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.