Oncology – Prometric Style Questions, Set 2

What this deck covers

Oncology – Prometric Style Questions, Set 2 in 50 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 50 cases, in order

1. A white dot in the photograph
2. Eleven weeks for a squint
3. Both eyes, and a baby coming
4. Parents distressed by the advice
5. Asking to be discharged
6. Tripping, and no bowels open
7. Ignoring her from another room
8. Blood at the end of the stream
9. A level that will not fall
10. A knee operation, two years on
11. Two syringes at once
12. Burning at the cannula
13. A dose with no working
14. A tablet after breakfast
15. What to do at home
16. Sore, with squared edges
17. Leaving out one treatment
18. Sleeping most of the day
19. Short only when sitting
20. Chest treatment at fifteen
21. Redness along the track
22. Flushes but will not bleed back
23. A swimmer starting treatment
24. Caught on a door handle
25. Is the device the source?
26. Drooling into a bowl
27. Patches that scrape off
28. Eating almost nothing
29. Boiling all the fruit
30. Rigors, and a clean line
31. Something done in advance
32. Sick in the car park
33. Four days, no bowels open
34. Sick three days later
35. An ache in her back and hips
36. Steroids before the biopsy
37. Smaller, but still there
38. Planning what to image
39. One more test to do
40. A scan every three months
41. A third time in six weeks
42. Something is wrong
43. An appointment in two weeks
44. Six weeks of bone pain
45. A mass felt by chance
46. New city, no letters
47. Two very different clinics
48. Too old for the clinic
49. Falling behind at school
50. Do her baby jabs still work?

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: A congenital cataract in that eye, It cures the disease when the eye is already blind, Selective hearing, That he needs steroid cover, Refuse until the surface area is calculated, A reaction of the skin within the treated field, Delayed puberty, A clot filling the vein around the line, Paired cultures, from the line and a vein, Feeding through a nasogastric tube, Two antiemetics, started before the infusion, The delayed phase of the drug’s effect, Rescan in three months, Most relapses are found because symptoms appear.

Clinical pearls from this deck

• The child looks completely well, and that is the point. Nothing about the eye itself has to look wrong for the tumour to be there.
• A squint that appears after six months of age is not the ordinary kind. Look at the reflex before you accept the referral pathway.
• No family history is not reassurance. Most heritable cases are the first in their family.
• Saving the eye and saving the child are different goals. When the eye is already blind they stop competing.
• The eyes were treated twenty years ago. The gene was not, and it is the bones that matter now.
• The constipation is not incidental. Foot drop and a silent bowel in the same child point at one drug.

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 Oncology case decks · pediatric reference values.