Tuberculosis in Children: Board Questions

What this deck covers

Tuberculosis in Children 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. Well, but her grandfather is not
2. Which of the five comes first
3. Getting a sample from a small child
4. Two tests that disagree
5. A quiet chest and a busy film
6. Which of the four is most at risk
7. Nodules everywhere, evenly spread
8. Two weeks of headache and a squint
9. How long and how many tablets
10. The test before the first dose
11. One tablet to prevent a problem
12. Yellow at six weeks
13. More than antibiotics at the base
14. The adult’s organism is resistant
15. Is the jab worth having
16. More going on than the chest
17. Half the tablets, twice moved
18. A violet lump that will not settle

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Latent infection, The 3-month-old baby, A single blood culture, Primary pulmonary tuberculosis, Being under two years of age, Miliary tuberculosis, Tuberculous meningitis, Two drugs for six months, Visual acuity and colour vision testing, Pyridoxine, Offer testing for human immunodeficiency virus, Switch to a single drug, Lymphoma.

Clinical pearls from this deck

• Well child, positive test, clear film. Treating her now is the cheapest thing you will do today.
• Find the youngest person in the house first. That is the whole triage.
• Before breakfast, three mornings running. Miss the timing and you miss the organism.
• Ask whether they were vaccinated before you interpret a skin test. It changes what it means.
• Few symptoms and a busy film. In childhood that mismatch is the diagnosis, not against it.
• Two questions, not one. Who was closest, and who is youngest. They have different answers.

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.