Infectious Disease – Exam Review Set 3

What this deck covers

Infectious Disease – Exam Review Set 3 in 50 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 50 cases, in order

1. Grunting on the fourth day
2. Fever that would not settle
3. Coughing until she vomits
4. Who to call first
5. Better than the film suggests
6. Positive test, well child
7. How long and how many
8. Too young to test
9. Yellow at six weeks
10. Three weeks of getting worse
11. Behind the eyelid
12. Under the tongue, not behind it
13. The ear that sticks out
14. Six weeks and violet
15. Worse in the second week
16. Pain worse than it looks
17. A limp, a fever, nothing to see
18. Sunburn rash, then collapse
19. Golden crusts round the nose
20. Eczema that turned painful
21. Protecting the baby before birth
22. A test that tells you nothing
23. Hypoxic with a clear chest
24. Why she takes the tablets
25. A needle in the park
26. The culture came back
27. A label from when he was two
28. Asking for a prescription
29. Where the gain actually is
30. Diarrhoea in the second week
31. Six weeks old and febrile
32. Hot by the calendar
33. Three weeks and no answer
34. Well, febrile, nothing found
35. The tap that goes with it
36. Same day, or a month
37. Started before the answer arrives
38. The two conditions hidden in it
39. The test that needs no reason
40. The rash arrives as the fever goes
41. Worse than the animal, not better
42. It settled, then it did not
43. Which teeth were spared
44. What cleared the way for it
45. Take them while you still can
46. What a raised amylase cannot say
47. Look at the spots, not the chart
48. The features that do not fit
49. Well between fevers, and immunised
50. One negative film excludes nothing

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Oral amoxicillin at home with review in two days, A throat swab first, Two drugs for three months, Antituberculous treatment with corticosteroids, A further course of oral antibiotics at home, Oral antibiotics and review in the morning, Admission for intravenous antibiotics, It proves infection, Squeeze the wound firmly to expel any blood, Explain the likely course and give safety-net advice, Discharge with advice, Blood cultures and inflammatory markers as routine, Nothing more; the test was negative, Parvovirus B19.

Clinical pearls from this deck

• Watch him drink before you decide. A child who has stopped drinking has told you where he is being treated tonight.
• Still febrile on day four means something needs draining. Scan the chest with ultrasound rather than repeating the radiograph.
• A lymphocytosis with a cough is the clue. Very few infections raise the lymphocytes and leave the child well between attacks.
• Stridor at rest in a toxic child: hands off the throat, and call the airway team.
• No cell wall, no beta-lactam. That single fact chooses the antibiotic and explains why the first one failed.
• Latent does not mean leave it. The two years after exposure are when a well child becomes an ill one.

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 infectious disease case decks · pediatric reference values.