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BPD – echo for PH screening — RACP Paediatrics MCQ

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ModerateRespiratoryBPD – echo for PH screeningRACP Paediatrics

A 3-year-old ex-premature infant with BPD has persistent oxygen requirement. What cardiac investigation should be performed to screen for a known pulmonary vascular complication of BPD?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Echocardiography

Echocardiography should be performed in children with BPD who have persistent oxygen requirement or clinical deterioration to screen for pulmonary hypertension. BPD-associated PH occurs in 25-40% of severe BPD and significantly worsens prognosis. If PH is confirmed, sildenafil or other pulmonary vasodilators may be considered.

Reference: RCH Melbourne – 2023 – BPD CPG; RACP Paediatric Curriculum – Respiratory/Cardiology