Supraventricular Tachycardia and the Arrhythmias – 18 Board-Style Cases with Answers

What this deck covers

Supraventricular Tachycardia and the Arrhythmias 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 board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A rate that will not move
2. Free, and it often works
3. Where the cannula must be
4. No cannula, no delay
5. Does the number wander
6. The slurred start
7. Reach for the paddles instead
8. They go when he runs
9. It follows her breathing
10. Ask about the mother
11. Waiting is over
12. Two beats up, one beat down
13. Assume the worse of the two
14. Most of them grow out of it
15. Something better than a tablet
16. Gone the moment he moves
17. Before they leave the house
18. The step everyone skips

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Fever with dehydration, Intravenous access and a rapid drug bolus, As a slow injection over two minutes, The width of the complexes, Thickening of the ventricular muscle, Amiodarone, Benign extra beats, An abnormality of the sinus node, Injury to the conducting tissue during delivery, A drug to speed the rate, given long term, Atrial flutter, Daily preventive medicine for about a year, after, Refer him for catheter ablation, Reassurance and no treatment.

Clinical pearls from this deck

• Ask whether the rate moves. A rhythm sits still; a reaction does not.
• The strip you record during the manoeuvre may be the only diagnostic trace anyone gets.
• A failed dose is usually a badly delivered one. Big vein, fast push, instant flush.
• Shocked child, fast rhythm, no access. The paddles do not need a vein.
• Watch the monitor for a minute. Variation is the answer, not a number.
• Always record in sinus rhythm afterwards. The pattern hides during the tachycardia.

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 Board Questions case decks · pediatric reference values.