Acute Myeloid Leukaemia and the Lymphomas in Children — Board-Style Questions

What this deck covers

Acute Myeloid Leukaemia and the Lymphomas 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. Gums that grew over his teeth
2. A rod inside the cell
3. Losing blood faster than expected
4. Start now, or hold for the result
5. He got worse as it started working
6. Blasts in a well newborn
7. A green lump by the eye
8. A lump that kept growing
9. Why not just use a needle
10. Which symptoms change the stage
11. A cell with two nuclei
12. One scan that shows everything
13. A jaw that doubled in a week
14. Why not just treat the lump
15. Which lump needs a knife
16. Breathless on the stairs
17. A small lump in a well toddler
18. Why give less, not more

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Acute lymphoblastic leukaemia, Acute promyelocytic leukaemia, Transient abnormal myelopoiesis, Tuberculous lymphadenitis, The Burkitt cell, Bleomycin lung injury.

Clinical pearls from this deck

• Look at the gums. They separate the two acute leukaemias before any laboratory does.
• The one morphological finding in this deck that changes management within the hour.
• Granular blasts plus a collapsing fibrinogen. Recognise it on the film, not on the report.
• Suspicion is enough. This is the leukaemia you treat before you have proved it.
• Getting worse as the treatment starts working is a diagnosis, not a coincidence.
• Blasts that go away on their own. Follow the baby, because a fifth of them come back.

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.