Explain tetralogy of Fallot and a tet spell to a frightened parent — OSCE

Candidate instructions

You are the paediatric registrar. You have five minutes to speak with Mrs Chen, whose four-month-old daughter Mia was admitted an hour ago after going blue and limp during a feed. The team has stabilised her and her echocardiogram has confirmed tetralogy of Fallot. Mrs Chen saw the spell and is terrified. Explain what tetralogy of Fallot is in plain language, what happened during the spell and whether it will happen again, what the operation involves and when, and what the long-term outlook is — honestly and without overpromising. Answer her questions, check her understanding, and agree a plan with her. ^[1]