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Why the other options are wrong
Case Complete
What this deck covers
Supraventricular Tachycardia in twelve clinical teaching 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.
The 12 cases, in order
- Recognition
- The trace
- Telling them apart
- First move
- The drug
- What the pause shows
- When there is no time
- What not to reach for
- What is underneath
- After it stops
- The infant who presents late
- What happens next
Diagnoses and management options tested
Across the twelve cases you are asked to choose between options such as: Sepsis with compensatory tachycardia, Bronchiolitis with respiratory distress, Severe anaemia, Supraventricular tachycardia, A broad-complex tachycardia, An irregularly irregular narrow-complex rhythm, A narrow-complex rhythm with progressive PR lengthening, The presence of fever, A narrow QRS complex, Pressure applied over both eyes, Carotid sinus massage on both sides, Immediate synchronised cardioversion, Adenosine 500 micrograms/kg as a slow infusion, Adenosine 100 micrograms/kg by rapid push, Amiodarone 5 mg/kg over 20 minutes, Digoxin by intravenous loading, The circuit runs through the atrioventricular node, Intravenous amiodarone over 20 minutes, Synchronised cardioversion at 1 J/kg, A fluid bolus of 20 mL/kg, Verapamil cannot be given intravenously in children, Normal variation for her age, Right bundle branch block, Left ventricular hypertrophy, Wolff-Parkinson-White syndrome, An echocardiogram before discharge.
Clinical pearls from this deck
- Too fast to count, and it does not move. In an infant, a fixed rate above 220 is supraventricular tachycardia until the monitor says otherwise.
- Regular, narrow, relentless. Fixed beat-to-beat spacing is the single most useful thing on the strip.
The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all cardiology decks and question sets · pediatric reference values.
