Congenital heart disease: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Congenital heart disease

Sample item

Which is the most common cyanotic congenital heart disease presenting beyond the neonatal period?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Tetralogy of Fallot

Tetralogy of Fallot has pulmonary stenosis, a VSD, an overriding aorta and right ventricular hypertrophy. Transposition is the commonest cyanotic lesion presenting in the first days of life.

Option by option

  • A. Total anomalous pulmonary venous connection

    TAPVC is much rarer.

  • B. Tetralogy of Fallot (correct)

    Correct.

  • C. Transposition of the great arteries

    TGA is the commonest cyanotic lesion in neonates.

  • D. Tricuspid atresia

    Tricuspid atresia is rarer.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Tetralogy of Fallot. Tetralogy of Fallot has pulmonary stenosis, a VSD, an overriding aorta and right ventricular hypertrophy.

Why is "Total anomalous pulmonary venous connection" not the answer?

TAPVC is much rarer.

Why is "Transposition of the great arteries" not the answer?

TGA is the commonest cyanotic lesion in neonates.

Why is "Tricuspid atresia" not the answer?

Tricuspid atresia is rarer.

What concept does this question test?

It tests Congenital heart disease in Pediatrics. Transposition is the commonest cyanotic lesion presenting in the first days of life.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Congenital heart disease?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.