Trial Written Exam April 2023

Section 8: 4 Questions. 40 minutes

A 38 year old woman has been referred to you with increasing dyspnoea over the past 12 months.

During this period she was diagnosed with COVID19 and has since cleared the infection.

Her past medical history includes a stroke 3 years ago, and a pulmonary embolism 1 year ago which has now resolved.

The woman is currently working as an engineer but is limited by her dyspnoea.

She was initially investigated with an echocardiogram which demonstrated a sinus venosus atrial septal defect, then went on to have the following CT scan.

Question 19

What further history is relevant? What are you differential diagnoses?

Question 20

What further workup is necessary in the management of this patient and outline the reasons for each.

Question 21

After workup, the decision is made to proceed with surgical correction. Outline the surgical approaches to correcting this woman’s pathology.

Question 22

Following sternotomy, it became apparent that a cluster of small-sized pulmonary veins are draining into the right superior vena-cava, beyond this point, the right superior vena-cava is very small in calibre, whereas the left vena cava by comparison is a larger vessel, how would this change your approach?

Name

First Name

Last Name

Section 7: Questions 16-18

Section 8: Questions 19-22

Section 9: Questions 23

Section 10: Question 24