Acute Hepatitis and Liver Failure in Children: Board Questions

What this deck covers

Acute Hepatitis and Liver Failure 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. Yellow eyes three weeks after the trip
2. What the family should do now
3. The first day of his life
4. Positive, well, and normal enzymes
5. Waiting to know about the baby
6. Tablets taken over a whole evening
7. Deciding whether this is failure
8. Awake all night, asleep all day
9. Jaundice, anaemia and worse handwriting
10. Vitiligo and a fluctuating jaundice
11. Collapsed in the second week
12. A low sugar that keeps coming back
13. What not to fix before transfer
14. He looks well and his clotting does not
15. Six weeks of tablets for his skin
16. Sore throat, big spleen, yellow eyes
17. Who still needs the jab
18. Which one stays for life

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Acute hepatitis A infection, Recent acute infection, Start intravenous acetylcysteine now, Encephalopathy, Ordinary infant colic, Wilson disease, Autoimmune hepatitis, Galactosaemia, Giving further vitamin K, When he develops encephalopathy, An acute viral hepatitis for, Epstein-Barr virus infection, Hepatitis B acquired at birth.

Clinical pearls from this deck

• Ask who else is unwell. A cluster turns a differential into a diagnosis.
• He was most infectious before anyone knew he was ill. That is why contacts, not the patient, are the work.
• Ninety per cent chronic if infected at birth, under five per cent as an adult. Age is everything here.
• Core antibody separates infection from vaccination. Vaccine never produces it.
• Before eighteen months you may be testing the mother’s antibody, not the baby’s.
• Staggered, unknown timing, or injury already present: treat, and do not wait for a level.

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.