Cardiology — Prometric Style Questions, Set 2

What this deck covers

Cardiology – Prometric Style Questions, Set 2 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 board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Pain you can press on
2. Better sitting forward
3. Tightness while running
4. Tingling with the tightness
5. Chest pain after a party
6. Warm hall, long assembly
7. Collapsing with no warning
8. Fast on standing, never faints
9. Extra beats that vanish
10. Never there when it happens
11. Louder when he stands
12. Sick tummy, big heart
13. The right side that failed
14. A thick heart and a floppy baby
15. When he can play again
16. Preventing the next attack
17. Movements months later
18. A rumble at the apex
19. Why the throat matters here
20. Before the dentist
21. Oxygen that changed nothing
22. Hand and foot disagree
23. The murmur that means nothing
24. Right-sided at day two
25. Measuring the right ventricle
26. A father who was thirty-eight
27. The other lipid pattern
28. A result taken while ill
29. Damage that arrives late
30. What the annual check covers
31. Blue at four hours
32. Fetal circulation that stayed
33. Knowing before he arrives
34. Where the blood goes instead
35. A septum that will thin again
36. Albumin lost after a Fontan
37. Fever four days after theatre
38. Sport with a metal valve
39. He thinks he was cured
40. An athlete’s own baseline
41. Struck by the ball
42. Can he play football
43. Testing every young athlete
44. Normal tests after an arrest
45. Arch, calcium and lymphocytes
46. A post-mortem that found nothing
47. Measuring the root
48. Sociable, with a neck murmur
49. Turner features in a boy
50. Asking about the next baby

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Pericarditis in an early stage, Coronary spasm provoked by stress, Beta blockade and family screening, A twenty-four hour ambulatory recording, Myocarditis affecting the right ventricle, Lifelong anticoagulation, To shorten the duration of the sore throat, A normal finding in the first day of life, Cardiac magnetic resonance imaging, Start a statin without further testing, Intubation and high-frequency ventilation, It causes cyanosis from right to left shunting, Post-pericardiotomy syndrome, Normal training-related changes.

Clinical pearls from this deck

• Press on the spot. Pain you can reproduce with your thumb is not coming from the heart.
• Ask him to lie flat and then sit forward. Pain that changes with the position tells you where it is coming from.
• Symptoms during exercise, not after it, is the distinction that matters. Stop the sport the day you hear it.
• The tingling fingers give it away. No heart or lung disease produces that, and it points straight at the breathing.
• Ask what he took before you reach for the beta blocker. It is the one drug that can make this worse.
• Ask what happened in the ten seconds before. A warning means a faint; no warning at all is the one to worry about.

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.