Cerebral Palsy and Developmental Regression — Board-Style Questions

What this deck covers

Cerebral Palsy and Developmental Regression 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Born at twenty-seven weeks
2. Mum thinks she is left-handed
3. Still only when he sleeps
4. A frame at home, a chair at school
5. Nappy changes are getting harder
6. Looking for something permanent
7. She used to say those words
8. Hands that will not stop
9. Top of the class last year
10. Never immunised as a baby
11. He looks different from his photos
12. He jumps at every sound
13. Bumping into the furniture
14. The parents want a reason
15. An uncle nobody could explain
16. Eighteen hours of spasms
17. He used to wave goodbye
18. She is not herself

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A hereditary spastic paraplegia, The Communication Function Classification System, Arrange magnetic resonance imaging of the hips, Bilateral hip reconstruction, Plasma very long chain fatty acids, Juvenile myoclonic epilepsy with cognitive decline, It is consistent with autistic regression, A psychiatric disorder.

Clinical pearls from this deck

• Stiff legs, working hands, normal conversation. The injury sits beside the ventricle.
• A proud parent reporting early handedness is describing a weak side. Examine both.
• Assume the child in front of you understands everything. Very often he does.
• Five levels, and they hold from the age of two. It is the number that predicts adult life.
• Ask about nappy changes. A hip going out of joint is silent until someone cannot part the legs.
• The operation is chosen by the child, not by the tone. Wrong child, wrong result.

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 Neurology case decks · pediatric reference values.