Inflammatory Bowel Disease in Children: Board Questions

What this deck covers

Inflammatory Bowel Disease in 18 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 18 cases, in order

1. Mouth ulcers and a skin tag
2. Blood every single time
3. When the blood tests come back normal
4. What the anaesthetic will cover
5. Three visits and nobody plotted him
6. Treating him without steroid
7. Keeping him well next year
8. Mild disease on the left side
9. Twelve times a day and febrile
10. Fewer stools, bigger abdomen
11. Before the first infusion
12. The test before the first tablet
13. Pus beside the anus
14. Quiet colitis, noisy liver tests
15. Tired despite three months of iron
16. What the family can do at home
17. Handing over to the adult team
18. Colitis before his second birthday

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Crohn disease, Ulcerative colitis, Faecal calprotectin, The mild anaemia, Exclusive enteral nutrition for six to eight weeks, A thiopurine, started now and continued long term, Toxic dilatation of the colon, Thiopurine methyltransferase activity, Gallstones, Give intravenous iron, Nothing at home affects the disease course, A monogenic disorder of immune function.

Clinical pearls from this deck

• Look at the perineum in every teenager with chronic diarrhoea. Nobody does, and it is diagnostic.
• Urgency and incomplete emptying are rectal words. They tell you where the disease starts.
• A normal CRP is present in a fifth of these children at diagnosis. It excludes nothing.
• Every child gets an upper endoscopy. That is where paediatric practice parts from adult.
• Plot the height. The commonest reason this diagnosis is late is that nobody drew the line.
• In a child, food is the first-line drug. It heals the lining and grows the patient.

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 Gastroenterology Board Questions case decks · pediatric reference values.