Wilms Tumour and the Abdominal Solid Tumours — Board-Style Questions

What this deck covers

Wilms Tumour and the Abdominal Solid Tumours 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 swelling found in the bath
2. Why the registrar said no
3. Black eyes with no fall
4. Spread that may melt away
5. A liver mass in a toddler
6. Watching without scanning
7. Keeping watch as he grows
8. What the newborn check found
9. Pressure that will not settle
10. What order things happen in
11. Two sides, one plan
12. Where it goes if it goes
13. What has to come out with it
14. A mass that is not cancer
15. Diarrhoea that ignores fasting
16. How fast is fast enough
17. Eyes that will not stay still
18. The question they came to ask

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Wilms tumour arising from the kidney on that side, Wilms tumour that has grown across to the other side, As a congenital infection, A haemangioma of the liver, Serial full blood counts, Impaired kidney function, To take generous margins on both sides, The skeleton, Removal of the coccyx together with the mass itself, A duplication cyst of the bowel, As deposits of tumour within the brain.

Clinical pearls from this deck

• Ask who found it. A mass found by a parent in the bath, in a well child, is this until proven otherwise.
• Write ‘examined once, do not repeat’ in the notes. It is the cheapest thing you will do all day.
• Two black eyes and a limp in a toddler. Feel the abdomen before you reach for anything else.
• Under eighteen months, with skin and liver but no bone. That baby may need watching, not treating.
• Ask the birth weight. Extreme prematurity is a real risk factor for this tumour.
• A marker that was high at diagnosis is a gift. It does the surveillance for you.

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 and Oncology case decks · pediatric reference values.