Fluid Resuscitation in Paediatric Shock — Board-Style Questions

What this deck covers

Fluid Resuscitation in Paediatric Shock 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. Drawing up the second
2. A liver that was not there before
3. The same amount for a different child
4. Dry lips, ordinary refill
5. Under three, and therefore fine
6. Filling him up between losses
7. Nothing moved at all
8. Three charts, no total
9. A seizure eight hours later
10. Fine crackles at the bases
11. Cold, and no worse
12. Ninety-six over seventy-eight
13. Minus twelve, minus nine, minus six
14. The shortest useful list
15. Grey, with a big liver already
16. Sit him up or lay him down
17. What the list left out
18. Which number an audit should watch

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The nurse’s impression, That he is in pain, As one that produced no response, The puffiness, That the diastolic value is the one, The parents’ understanding of the situation, The average total volume given per child.

Clinical pearls from this deck

• Three is the ceiling, not the target. Look between every one.
• A liver you can suddenly feel is the first thing fluid gives you back.
• Malnutrition changes the rate and the size, never the decision to treat.
• Dry and shocked are different children with different clocks.
• A sign good enough to worry you is rarely good enough to reassure you.
• After injury, a child who keeps needing volume is asking for blood.

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 emergency and critical care case decks · pediatric reference values.