YEAR 05 • ADVANCED CLINICAL

Paediatrics

20 learning units • 100 chapter sections • 200 explained questions. Assess children from birth through adolescence, recognise urgent illness and plan safe treatment, prevention and family-centred follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 13 / 20

Congenital Heart Disease & Cardiac Symptoms

Recognise cardiac presentations and distinguish urgent findings from uncomplicated murmurs.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which infant symptom can suggest heart failure? A. Stable isolated hiccupsB. Feeding fatigue with sweating and tachypnoeaC. Normal vigorous feedingD. A brief sneeze

Question 02. Does absence of a murmur exclude serious congenital heart disease? A. YesB. Only after one examinationC. NoD. Only in term babies

Question 03. Why examine femoral pulses in a newborn? A. Abnormalities can suggest important cardiovascular diseaseB. They determine hearingC. They replace all oxygen assessmentD. They measure blood glucose

Question 04. Persistent central cyanosis requires what? A. Prompt assessment of cardiac and respiratory causesB. Routine reassurance without observationsC. Only warming the handsD. Delayed school review

Question 05. What should influence interpretation of a murmur? A. Loudness aloneB. Only the child’s nameC. Symptoms and associated examination findingsD. Only the date heard

Question 06. Can a quiet murmur be assumed innocent in a child with poor growth? A. YesB. Only if the child is afebrileC. NoD. Only after infancy

Question 07. What must be considered in a shocked newborn? A. Only teethingB. Only uncomplicated refluxC. Critical congenital heart disease as well as infectionD. Only benign murmurs

Question 08. What is appropriate for an unstable cyanosed newborn? A. Urgent specialist help and physiological supportB. Routine outpatient referral onlyC. Waiting for the next growth checkD. Feeding advice without examination

Question 09. Which syncope history is especially concerning? A. Brief faintness with a clear benign trigger aloneB. Syncope during exertion with a family history of sudden deathC. No loss of consciousnessD. A resolved mild headache

Question 10. How should activity advice be given in congenital heart disease? A. Individually according to specialist assessmentB. Prohibit all activity for every childC. Permit everything regardless of diseaseD. Avoid discussing school

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Royal Children’s Hospital — Clinical practice guidelines

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.