Cardiac imaging: practice question

A Radiology 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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Radiology · Cardiac imaging

Sample item

A 'boot-shaped' heart (coeur en sabot) on a chest radiograph is typical of:

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

The answer and the reasoning

B. Tetralogy of Fallot

Right ventricular hypertrophy lifts the apex, and a concave pulmonary bay from a small pulmonary artery gives the boot shape of Tetralogy of Fallot.

Option by option

  • A. Transposition of the great arteries

    Transposition gives an 'egg on a string' appearance.

  • B. Tetralogy of Fallot (correct)

    Correct.

  • C. Total anomalous pulmonary venous connection

    TAPVC (supracardiac type) gives a 'snowman' shape.

  • D. Ebstein's anomaly

    Ebstein's gives a box-shaped, massively enlarged heart.

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.

More Radiology questions

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is B, Tetralogy of Fallot. Right ventricular hypertrophy lifts the apex, and a concave pulmonary bay from a small pulmonary artery gives the boot shape of Tetralogy of Fallot.

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

Transposition gives an 'egg on a string' appearance.

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

TAPVC (supracardiac type) gives a 'snowman' shape.

Why is "Ebstein's anomaly" not the answer?

Ebstein's gives a box-shaped, massively enlarged heart.

What concept does this question test?

It tests Cardiac imaging in Radiology. The correct option holds because: Correct.

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 Cardiac imaging?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.