MRCPCH 1: Essential Questions in Paediatrics - PasTest
MRCPCH 1: Essential Questions in Paediatrics - PasTest
MRCPCH 1: Essential Questions in Paediatrics - PasTest
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2CARDIOLOGY – QUESTIONS1.5 The follow<strong>in</strong>g statements about transposition of the greatarteries are true: A there is an association with coarctation of the aorta B arterial switch is the operation of choice, undertaken before2 weeks C the condition is detected antenatally <strong>in</strong> 50% of cases D presentation can occur upon closure of the ductus arteriosus E the arrangement of the coronary arteries is a major factor <strong>in</strong> determ<strong>in</strong><strong>in</strong>gthe success of the surgical repair1.6 The follow<strong>in</strong>g is true of Eisenmenger syndrome: A affected children are typically teenagers B it can be seen <strong>in</strong> children with Down syndrome C it is usually secondary to an untreated ventricular septal defect oratrioventricular septal defect D the pulmonary component of the second heart sound is quiet onauscultation E the ECG shows left ventricular hypertrophyBest of Five <strong>Questions</strong>1.7 You are asked to review an ECG of a baby on the <strong>in</strong>tensive careunit. The baby was well at birth, but soon became unwell andcyanosed. There was no heart murmur. ECG f<strong>in</strong>d<strong>in</strong>gs reveal asuperior axis, absent right ventricular voltages, and a largeP wave. What is the MOST likely diagnosis? A Complete atrioventricular septal defect B Tricuspid atresia C Critical pulmonary stenosis D Transposition of the great arteries E Total anomalous pulmonary venous connection (TAPVC)1.8 You are asked to see <strong>in</strong> cl<strong>in</strong>ic a 6-year-old girl with a diagnosis ofright atrial isomerism. Which one of the follow<strong>in</strong>g features wouldyou expect her to have? A Asplenia and a midl<strong>in</strong>e liver B Polysplenia C Two functional left lungs D T-cell deficiency E Trisomy 21