Infectious Disease Prometric Style Questions – 50 Cases with Answers

What this deck covers

Infectious Disease – Prometric Style Questions, Set 1 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. About to enter an isolated room
2. Isolating the wheezy infant
3. Five babies, one organism
4. Getting dressed at the door
5. The dose the pharmacist caught
6. Irritable five days into ear treatment
7. Fever back on day ten
8. Unequal pupil and a slow pulse
9. Turbid fluid with diplococci
10. A rash that will not blanch
11. Who needs the prophylaxis
12. Odd behaviour with a fever
13. White spots inside the cheeks
14. Confirming the blotchy rash
15. Decline years after a childhood illness
16. A mild rash and swollen neck glands
17. Brother broke out in spots
18. One spot that turned angry
19. Sore mouth and nothing to drink
20. A rash that feels like sandpaper
21. Sore throat in a rugby player
22. Diarrhoea after the swimming pool
23. Sticks on and makes a toxin
24. Pale and passing no urine after the farm
25. Bloody stools spreading at home
26. Fever climbing after a trip abroad
27. Greasy stools after camping
28. A liver cavity after travel
29. Fever every other day after Nigeria
30. Severe malaria with a low sugar
31. Varices with a working liver
32. A baby who will not move one arm
33. Small head with calcified rings
34. Big head and scarred retinas
35. Cold sore and a new baby
36. Swollen parotids and thrush that returns
37. Fever on chemotherapy at home
38. Nodules with a halo around them
39. Spots in the liver as counts return
40. A spot that turned black overnight
41. Very low saturation, quiet chest
42. Rash that began at the wrists
43. Teaching when the spots appear
44. A grey membrane and a bull neck
45. A hip held bent for five days
46. Six weeks of evening fevers
47. A nail through the sole
48. Bitten by a stray dog
49. Protecting the household
50. A cavity and a coughing grandfather

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Hand hygiene before and after contact, Gloves, then gown, then mask, then eye protection, Cerebral venous sinus thrombosis, Perform a lumbar puncture to confirm the diagnosis, Measles, Measles in a partially immunised child, Oral amoxicillin for a bacterial gingivitis, Salmonella enteritidis, Shigella, Hydatid cyst from Echinococcus granulosus, Chronic hepatitis B with cirrhosis, Congenital syphilis, Staphylococcus aureus, Systemic juvenile idiopathic arthritis.

Clinical pearls from this deck

• Whatever the precaution label says, the answer is nearly always the sink. Everything else is added on top of it.
• Ask how the organism actually travels. This one rides on hands and cot sides, not through the air.
• When several patients grow the same organism in the same place, look at the hands and the equipment before the microbiology.
• Gloves on last, gloves off first. If you can remember that one rule, the rest of the sequence follows.
• The near misses are the free lessons. A unit that only investigates harm is waiting to learn the expensive way.
• In a baby, meningitis is a story about behaviour, not about the neck. Irritable on being picked up is the sign that matters.

This deck is open to everyone with no sign-in. Work through it once for recognition, then again a week later to test yourself.

More from this system: all infectious disease case decks · pediatric reference values.