Chronic Lung Disease of Prematurity – 18 Board-Style Cases with Answers

What this deck covers

Chronic Lung Disease of Prematurity 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. Still in oxygen at term
2. Not the lung in the old textbook
3. Home on prongs
4. Off the concentrator?
5. Falling centiles on full feeds
6. Too small for the needle?
7. The need is going the wrong way
8. Why the heart scan matters
9. A cold, and the flow has doubled
10. Spirometry before sports day
11. What the next few years hold
12. A gas that looks worse than the baby
13. How long to keep the water tablets
14. The steroid conversation on the unit
15. Only a few words at two
16. Signing the football form
17. What to change before he comes home
18. The pressure is up and the nights are low

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: An echocardiogram to look for pulmonary hypertension, It marks the complication that most affects survival, Admit him for observation and support, Arrange a formal developmental assessment now, He should play, with no restriction needed, Increase the oxygen to abolish the overnight dips.

Clinical pearls from this deck

• The grade is fixed at 36 weeks corrected, whatever happens afterwards.
• The modern lung is small and simplified, not scarred.
• Hypoxaemia costs growth and pulmonary vessels long before it costs a saturation alarm.
• Awake, then feeding, then asleep. Prove the last one before you stop.
• In this disease, feeding is lung treatment.
• Chronological age, full schedule, on the unit where he is monitored.

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.