Transposition of the Great Arteries

Transposition of the Great Arteries
Question 1 of 12
Case slide
Why the other options are wrong
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What this deck covers

Transposition of the Great Arteries 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

  1. Dusky at six hours
  2. Two circuits in parallel
  3. The hyperoxia test
  4. The examination
  5. The chest radiograph
  6. Reading the tracing
  7. Preoperative echocardiography
  8. First-line management
  9. When mixing fails
  10. Surgical correction
  11. Late complications
  12. A warning sign

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Persistent pulmonary hypertension of the newborn, Obstructed total anomalous pulmonary venous connection, Transposition of the great arteries, Tetralogy of Fallot, A superior QRS axis, A normal electrocardiogram for age, Intubate and hyperventilate in 100% oxygen, Balloon atrial septostomy, Immediate arterial switch operation, Right ventricular failure, Complete atrioventricular block requiring a pacemaker, Baffle obstruction causing superior vena cava syndrome, Coronary artery obstruction, Differential cyanosis, Reverse differential cyanosis, Probe artefact from incorrect sensor placement.

Clinical pearls from this deck

  • The well-looking blue newborn with a clear chest and no murmur to hear is transposition until proven otherwise.
  • Two circuits in parallel: the body recycles blue blood while the lungs recycle pink. Only mixing sites keep the baby alive.

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.

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