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Pediatrics · Cardiology
Sample itemWhat causes cyanotic spells in TOF?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Right-to-left shunt
This item reviews Cardiology; Right-to-left shunt is the best answer because it directly fits the obstetric or pediatric pattern described.
Option by option
A. Left-to-right shunt only
Left-to-right shunt only does not fit the stated presentation.
B. Right-to-left shunt (correct)
Correct. Right-to-left shunt matches the defining feature.
C. Otitis
Otitis is unsupported by the key finding.
D. Cataract
Cataract is plausible but is not the best answer.
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.