Immunology and Allergy Prometric Style Questions – 50 Cases with Answers

What this deck covers

Immunology and Allergy Prometric Style Questions – 50 Cases with Answers 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. A boy with no tonsils
2. Infections and low platelets
3. No IgA at all
4. Low IgG in a thriving baby
5. What the infusions are for
6. Thrush that would not clear
7. A test on the heel prick card
8. Diarrhoea that would not stop
9. Eczema, bruising and infections
10. Unsteady with red eyes
11. Abscesses in the liver
12. A cord that took five weeks
13. Ulcers and swollen gums
14. Ulcers every three weeks
15. Tablets every day
16. Meningococcus for the second time
17. Swelling that ignores treatment
18. Heart, palate and infections
19. Lupus that runs in the family
20. Slipping away over months
21. Which child to investigate
22. Where to start the tests
23. Matching bug to defect
24. Ordering blood for this baby
25. Normal immunology, still infected
26. Egg in a cake but not scrambled
27. Negative tests, obvious symptoms
28. Vomiting two hours after rice
29. A test result in a well child
30. When can he have milk again
31. Itchy mouth from raw fruit
32. Labelled allergic at two
33. Can he have a cephalosporin
34. Wheeze after a painkiller
35. Flushing during an infusion
36. Weals every day for months
37. Weals in a hot bath
38. A swim in a cold lake
39. Weals that bruise
40. Swollen lips overnight
41. Better already, wanting to leave
42. Starting at a new school
43. Proving it afterwards
44. Carrying it but not using it
45. How to use the pen
46. Blocked nose all year
47. Food sticking in the chest
48. Blood in a happy baby’s nappy
49. Preventing the next allergy
50. Hay fever that beat the sprays

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Common variable immunodeficiency, X-linked agammaglobulinaemia, T cell receptor excision circles, Friedreich ataxia, Cyclical neutropenia, Antibody deficiency, An inherited early complement component deficiency, Genetic panel sequencing for immune disorders, Repeating the immunology tests in six months, IgE-mediated rice allergy, Systemic anaphylaxis to multiple fruits, IgE-mediated allergy to ibuprofen specifically, Exercise-induced anaphylaxis, Total immunoglobulin E.

Clinical pearls from this deck

• Look at the tonsils. No lymphoid tissue anywhere in a boy with recurrent infection is a diagnosis you can make with a torch.
• Autoimmunity in a child with recurrent infection is not a coincidence. In this condition the two are the same disease.
• This diagnosis is usually made by a coeliac test that failed. Understanding why explains both the finding and what to do next.
• A number that is low can still be a system that works. Test the function, not just the level, before labelling a child.
• The outcome that matters is the lungs. Every chest infection prevented is bronchiectasis that does not happen.
• Read the lymphocyte count against the infant range, not the adult one. A number that looks unremarkable on an adult form is catastrophic at four months.

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 Immunology and Allergy case decks · pediatric reference values.