Pulmonary Hypertension in Children – 18 Board-Style Cases with Answers

What this deck covers

Pulmonary Hypertension in Children 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 sound you can feel
2. What the registrar asked
3. Before anything is prescribed
4. He gets up straight away
5. Two hours after theatre
6. Her lungs, not her body
7. She did not respond
8. An ordinary tummy bug
9. Swollen, and the neck shows why
10. Not at the local hospital
11. Making a hole on purpose
12. A conversation at sixteen
13. Booking a family holiday
14. Ninety metres less
15. Raised on both sides
16. Breathless, and not from anaemia
17. Both parents are well
18. Two years of the wrong label

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Exercise-induced narrowing of the airways, A high flow of blood through a normal valve, An exercise test with continuous recording, Dehydration during sport, A trial of a calcium channel blocker, A calcium channel blocker at high dose, Nephrotic syndrome, Removal of the pericardium, Objective deterioration, Disease of the lung arteries themselves, An unrelated inherited disease of the lung arteries, Arrange a trial of oral corticosteroids.

Clinical pearls from this deck

• Put your hand on the upper left sternal edge. If the second sound is palpable, stop and think.
• Two components, and the second one gets loud before anything else changes.
• The scan raises the question. Only the catheter answers it.
• Quick recovery reassures the parents and should terrify you.
• Dilate the lungs, not the child. The inhaled route is the whole point.
• A small group, and the best outcome of any of them. That is why the test is worth the catheter.

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.