Archives: MRCPCH FOP/TAS

paeds53

A 5 month old boy presents with breathlessness, central cyanosis, irregular pulse, and oedema. On cardiac auscultation, he has a displaced apical beat laterally and a profound right ventricular heave. On lung auscultation, he has bilateral basal crackles. X-ray of the chest reveals gross cardiomegaly. Heart ultrasound shows mitral valve prolapse. Finally, ECG shows a prolonged and widened QRS complex with a short PR interval. Doctors establish the diagnosis of a right bundle branch block with a dominant R wave in V1. What is the most likely diagnosis?

paeds54

A woman gives birth to a baby which is cyanosed 6 hours after birth. Which of the following heart conditions might the baby have?

paeds55

A child is admitted due to potassium supplement overdose. What of the following do you expect to see?

paeds46

Which of the following cardiac abnormalities is most often found in patients suffering from Marfan syndrome?

paeds47

A 17-year-old girl is brought to the ER after collapsing at a party. Her friends state that she complained about palpitations prior to collapsing. On further history, it is revealed that she recently visited the dermatologist and was given an antibiotic prescription for an infected toe. She is reported to be allergic to penicillin. Her mother died of a sudden cardiac event when the girl was just 3 years old. An uncle and aunt also passed away suddenly at a young age. ECG shows sinus rhythm and a corrected QT interval of 550 ms. Which of the following most likely lead to the collapse in this young girl?

paeds48

An 18-year-old boy presents to the physician complaining of persistent palpitations. The ECG shows a regular rhythm with a rate of 200 beats/min and QRS duration of 80ms. The tachycardia spontaneously resolves and presents in sinus rhythm. The PR interval is 60 ms and QRS duration is 120 ms, there is a positive delta wave in V1. Regarding the boy’s tachycardia, which of the following statements holds true?

paeds49

A 13-month-old infant is admitted to the hospital and scheduled for an elective cardiac surgery. There is no respiratory distress, but cyanosis is present with oxygen saturations at 80s. There is a midline sternotomy scar. On auscultation there is a 4/6 ejection systolic murmur on the upper left sternal edge and a sternal heave is felt on palpation. Which of the following is the child most likely suffering from and what is the likely treatment?

paeds50

A 2-day old boy is diagnosed with a patent ductus arteriosus. He has a cyanotic heart disease. Which of the following would be the best course of action in this patient?

paeds43

A 8 year old boy who had not wet his bed for the past 3 and half years, presented with bed wetting for 2 weeks. Which of the following is the most appropriate management?

paeds44

From the options provided, which statement would most likely points towards Munchausen’s syndrome by proxy?