Haematology – Exam Review Set 3

What this deck covers

Haematology – 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. Pain that wakes him at night
2. Before the first dose
3. Chickenpox in the classroom
4. An odd count in Down syndrome
5. Why he still attends
6. Above the collarbone
7. Cannot lie flat for the biopsy
8. Small nodes that come and go
9. Growing faster than anything
10. A rash after the antibiotic
11. It corrected on mixing
12. Abnormal number, no bleeding
13. Nosebleeds from one side
14. Bruises on the shins
15. Swollen on the line side
16. Should we test the family
17. Clotting while the count falls
18. Two carriers before marriage
19. The first appointment
20. Testing during the pregnancy
21. Ill two days after the meal
22. When the stores run out
23. Finding the risk before the stroke
24. Reducing how often it happens
25. Five hours and embarrassed
26. What the transfusions left behind
27. Getting him through theatre
28. Breathless an hour in
29. Why the unit goes through the cabinet
30. Bleeding faster than you replace
31. Running out of compatible units
32. Which way the curve moves
33. Prove it was taken first
34. How fast it fell
35. Skin or mucosa
36. The two numbers disagree
37. Minutes against hours
38. The marrow answered
39. Iron that cannot be used
40. It goes, then it may return
41. Stores he never received
42. Spherocytes, and which kind
43. Work it out, not a unit
44. One line, one drug
45. What the spleen bit out
46. The switch that never came
47. The half that gets left out
48. What can be given at once
49. One dose, or several
50. What the anticoagulant does

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: A skeletal survey for the bone pain, The risk is the same as in other children, Bleeding from the biopsy site, That he is now allergic to penicillin for life, An underlying bleeding disorder, It rarely changes management and is not routine, Hydroxycarbamide from three months of age, Continue exclusive breastfeeding to twelve months, Analgesia and observation overnight, Circulatory overload, Giving washed red cells for every transfusion, Transfuse, because the haemoglobin is below seventy, Vitamin K alone, Congenital leukaemia, needing chemotherapy.

Clinical pearls from this deck

• Pain that wakes a child from sleep is different from pain at the end of the day. Ask which one it is.
• Start the fluid before the first dose of chemotherapy. Everything about this complication is decided before treatment begins.
• The exposure is the emergency, not the rash. Once he has spots, the window for prophylaxis has closed.
• Never write off an odd count as part of the syndrome. In Down syndrome that count is more likely to mean something, not less.
• Give him the treatment summary on paper. In fifteen years it is the only thing that tells an adult doctor what to look for.
• A node above the clavicle is never normal. Its position alone is enough to refer on.

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.