MRCPCH 1: Essential Questions in Paediatrics - PasTest

Extended Matching Questions1.14 Theme: Surgical procedures in paediatric cardiologyA Arterial switch procedureB Hemi-FontanC FontanD NorwoodE RastelliF Blalock–Taussig shuntG Pulmonary artery (PA) bandH Ductus arteriosus ligationI Coarctation of the aorta repairCARDIOLOGY – QUESTIONS 5From the list above, choose the most appropriate procedure for thechildren in the scenarios below. Each option may be used once, more thanonce, or not at all. 1. A 4-day-old baby who presented with absent femoral and brachialpulses, no heart murmur, and severe acidosis. ECG had revealedabsent left ventricular forces. 2. A 3-year-old child with complex cardiac problems, which were notsuitable for repair, including two separate ventricles. He had undergonea previous heart operation at the age of 7 months and hadoxygen saturations of 80–85%. His cardiologist felt that he requireda further operation, as there was insufficient blood flow to thelungs, causing exercise limitation. 3. A severely cyanosed baby with tetralogy of Fallot and a loud heartmurmur at the upper left sternal edge, and a recent history ofsevere spells of cyanosis.