Neurocutaneous Syndromes and Neural Tube Defects — Board-Style Questions

What this deck covers

Neurocutaneous Syndromes and Neural Tube Defects 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. Patches, and a father with the same
2. What the parents should expect
3. Soft for years, hard since spring
4. What about the next baby
5. Two years behind in class
6. What the registrar should measure
7. Ringing in both ears
8. Red from birth, fits this week
9. Day one, and everything looks fine
10. A stain on the cheek only
11. Stripes that changed three times
12. A hoarse cry at six weeks
13. Planning another baby
14. While transfer is arranged
15. Damp, and three infections this year
16. Twenty minutes into the list
17. Found at the six-week check
18. A choice offered at twenty weeks

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Ataxia telangiectasia, Annual computed tomography of the head, An abscess within the lesion, They indicate a moderate intellectual disability, Sturge-Weber syndrome, Oral propranolol, Congenital herpes simplex infection, An indwelling urethral catheter, changed monthly, Latex allergy, to, Computed tomography of the lumbosacral spine.

Clinical pearls from this deck

• Look in the armpits. Brown patches are common; freckles where the sun never reaches are not.
• The child never says his sight is failing. Book the eye clinic before he needs it.
• Night pain in a lump that never hurt before. That sentence buys the urgent scan.
• Two clear parents and an affected child usually means a new mutation, not a missed diagnosis.
• Ask about school at every visit. It is where this condition does most of its damage.
• Put the cuff on every time. Two curable causes of hypertension are hiding in this diagnosis.

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.