paeds90

A 1-month-old boy was brought to the ED by his mother because he has been irritable and feeding poorly for the last 24 hours. His CXR shows cardiomegaly but with clear lung fields while his ECG shows a regular narrow complex tachycardia with difficulty identifying the P wave. The boy is conscious but has cold extremities. What is the most appropriate next step?

paeds91

A 8 year old girl with suspected patent foramen ovale, presented with her parents for the confirmation of the diagnosis. Which of the following is the best investigation to confirm the diagnosis?

paeds92

A 9 year old boy with central cyanosis underwent cardiac catheterization. His study results were:Right atrium: 7 mmHg, Saturation 60 %Right ventricle: 110/6 mmHg, Saturation 55 %Pulmonary artery: 20/5 mmHg, Saturation 55 %Left atrium (mean): 9 mmHg, Saturation 98 %Left ventricle: 110/80 mmHg, Saturation 87 %Aorta: 110/80 mmHg, Saturation 76 %.Which the following abnormalities are present in this patient?

paeds80

A 6-months-old boy develops QT interval prolongation. Which of the following is NOT a cause of QT prolongation in this boy?

paeds81

All of the given options are examples of neonatal cyanotic congenital heart disease EXCEPT?

paeds82

Isolated atrial septal defect is NOT characterized by which of the given findings?

paeds83

Which of the following is not associated with DiGeorge syndrome?

paeds84

The clinical findings in infective endocarditis do NOT include which of the following?

paeds85

Which of the given features is correct regarding coarctation of aorta?

paeds86

A 12-year-old boy has a history of fever for one week (39C), with no other symptoms leading up to the fever. He recently had a surgical extraction of one of his incisors two weeks before consultation. On examination of CVS, a mid-systolic click followed by a late systolic murmur is heard. Which of the following is the most probable diagnosis?