Domain 4 · ~10–15% of ASCeXAM

Congenital Heart Disease (Adult)

Simple and complex adult congenital lesions, common surgical repairs, and post-operative anatomy. The ACHD population is growing — image recognition and shunt physiology drive this section.

Subtopics Placeholder structure — content lead to expand

ASD & PFO →Subtypes (secundum, primum, sinus venosus), bubble study, Qp/Qs. Stub VSD & AVSD →Membranous, muscular, outlet; AVSD complete vs partial. Stub Tetralogy of Fallot →Anatomy, post-repair RVOT/PR, branch PA assessment. Stub Single-Ventricle / Fontan →Post-Fontan haemodynamics, hepatic congestion, fenestration. Stub Coarctation & Aortopathy →Gradient assessment, BAV-associated aortopathy. Stub

Study this domain Pick a loop

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MCQ Bank

NBE-style multiple choice with rationale and reference for every answer.

Flashcards

High-yield facts: gradients, normal ranges, equation forms, threshold values.

Echo Cases

Cine loops with clinical stem. Identify the finding, then reveal diagnosis & teaching.

Domain Mock

Congenital-only timed mock — calibrate your pace within this content area.

Why this matters From the project brief

Placeholder — the content lead will replace this with a domain-specific framing that explains why this section rewards (or punishes) the typical ASCeXAM candidate.