Haematology — Prometric Style Questions, Set 2

What this deck covers

Haematology – Prometric Style Questions, Set 2 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. Pain that wakes him at night
2. Before the first dose
3. Chickenpox in the classroom
4. An odd count in Down syndrome
5. Why he still attends
6. Above the collarbone
7. Cannot lie flat for the biopsy
8. Small nodes that come and go
9. Growing faster than anything
10. A rash after the antibiotic
11. It corrected on mixing
12. Heavy from the first period
13. Abnormal number, no bleeding
14. Nosebleeds from one side
15. Bruises on the shins
16. Swollen on the line side
17. Should we test the family
18. Black patches on day one
19. Clotting while the count falls
20. The test that reads backwards
21. Two carriers before marriage
22. The first appointment
23. Testing during the pregnancy
24. Ill two days after the meal
25. When the stores run out
26. Finding the risk before the stroke
27. Reducing how often it happens
28. Five hours and embarrassed
29. The iron the transfusions left
30. Getting him through theatre
31. Breathless an hour in
32. How the blood is prepared
33. Bleeding faster than you replace
34. Running out of compatible blood
35. Enough cells, wrong function
36. Infected, but no pus
37. A low count that runs in the family
38. Eosinophils after travelling
39. Well, febrile, no neutrophils
40. A ferritin off the scale
41. A rash, a hole and a thirst
42. Life without a spleen
43. A big spleen in a well child
44. Bones, spleen, and no fever
45. Too many cells to flow
46. Transfusing without drowning him
47. Oozing everywhere at once
48. Treat before you scan
49. The dose that stopped working
50. The wrong name on the form

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: A skeletal survey for the bone pain, The risk is the same as in other children, Bleeding from the biopsy site, That he is now allergic to penicillin for life, Mild haemophilia not previously detected, Catheter-related thrombosis, Sepsis causing consumption of platelets, Hydroxycarbamide from three months of age, Continue exclusive breastfeeding to twelve months, Analgesia and observation overnight, Circulatory overload, Giving washed red cells for every transfusion, Cyclical neutropenia requiring serial counts, Sepsis with disseminated intravascular coagulation.

Clinical pearls from this deck

• Pain that wakes a child from sleep is different from pain at the end of the day. Ask which one it is.
• Start the fluid before the first dose of chemotherapy. Everything about this complication is decided before treatment begins.
• The exposure is the emergency, not the rash. Once he has spots, the window for prophylaxis has closed.
• Never write off an odd count as part of the syndrome. In Down syndrome that count is more likely to mean something, not less.
• Give him the treatment summary on paper. In fifteen years it is the only thing that tells an adult doctor what to look for.
• A node above the clavicle is never normal. Its position alone is enough to refer on.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

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