Acute Lymphoblastic Leukaemia in Children — Board-Style Questions

What this deck covers

Acute Lymphoblastic Leukaemia 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. A boy who stopped walking
2. Legs that ache after bedtime
3. Which kind is it exactly
4. A mass that makes sedation dangerous
5. Bloods that changed within two days
6. A low result best left alone
7. What goes in the bag, and what does not
8. Why keep doing the procedure
9. Clean slide, positive test
10. Two children, two different outlooks
11. Nine and twenty-two
12. Seven months old at diagnosis
13. A protocol that has to be changed
14. Something his mother found
15. Feet that will not lift
16. How much longer must she take it
17. A count above four hundred
18. Numbers they read online

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Immunophenotyping, Yes, but only by the oral route, Age below one year, A hydrocele, Vincristine neuropathy.

Clinical pearls from this deck

• A young child who stops walking has bone pain. Count the cell lines before you reassure.
• Ask who noticed the pallor. The person who sees the child rarely is often right.
• Packed marrow is the diagnosis. Immunophenotype is the address.
• Never anaesthetise a big mediastinal mass for convenience. Find another way to the diagnosis.
• Three up, one down. Potassium, phosphate, urate up; calcium down.
• The one low number you do not chase. Fix the phosphate and the calcium follows.

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 Haematology case decks · pediatric reference values.