Pneumonia in Children: Board Questions

What this deck covers

Community-Acquired and Complicated Pneumonia 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. Fast breathing, clear chest
2. Do we need a picture of his chest
3. Which antibiotic to send home with
4. Worse film than chest
5. Coughing baby who never ran a fever
6. He has stopped drinking
7. Does he need a cannula
8. Still hot on day three
9. A round shadow on the film
10. Worse again after the flu
11. But he had all his jabs
12. Four infections, always the same side
13. Three infections, two in one place
14. Who comes back for another film
15. How many days of tablets
16. Wheezy, febrile and playing
17. Still febrile on day eight
18. Still coughing at the door

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The temperature of 39.1 degrees, Oral amoxicillin, Staphylococcus aureus, Admit him for oxygen, fluid and antibiotic treatment, Intramuscular, Fluid has collected in the pleural space, As round pneumonia, Mycoplasma pneumoniae, An antibody deficiency, Ten days, Pulmonary tuberculosis.

Clinical pearls from this deck

• Count for a full minute while he is settled. It is the most informative minute you will spend.
• Ask what the film would change. If the answer is nothing, do not move the child.
• First line is narrow on purpose. Reaching wider on the first day is how resistance is grown.
• When the film looks worse than the child sounds, think of the organism without a cell wall.
• An afebrile infant with a cough and a history of a sticky eye. Ask about the eye.
• Grunting gets written in the notes and ignored. It is the child telling you he is failing.

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 Respiratory Board Questions case decks · pediatric reference values.