Pulmonary Valve Stenosis – Board-Style Questions

What this deck covers

pulmonary valve stenosis 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Listening closely
2. A pattern of features
3. How severe
4. Mild and well
5. When to treat
6. A thick valve
7. Critical in the newborn
8. Worse after the balloon
9. Years later
10. Why she is blue
11. The ECG
12. On the X-ray
13. Another heart problem
14. The fetal scan
15. In the neck
16. Narrowing again
17. Like father
18. The outlook

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A continuous murmur below the left clavicle, Noonan syndrome, The loudness of the murmur, Balloon valvuloplasty within the next month or two, Balloon valvuloplasty in the catheter lab, Repeat balloon dilation every month until it works, Oxygen alone and discharge, A torn pulmonary valve, Surveillance of the regurgitation over years, Pneumonia, Left ventricular hypertrophy with strain, An enlarged left atrium from mitral disease, Thickening of the heart muscle over time, It always stays the same.

Clinical pearls from this deck

• A click that softens on inspiration points to valvar PS.
• PS with a webbed neck and a normal karyotype: think Noonan.
• Grade pulmonary stenosis by the Doppler peak gradient.
• Mild pulmonary stenosis: watch it, do not treat it.
• Significant stenosis with a domed valve: balloon it.
• A dysplastic valve often needs surgery, not balloons.

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.