Treatment Failure in Childhood Eczema — Board-Style Questions

What this deck covers

Treatment Failure in Childhood Eczema 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. The tube is half full
2. The face is not improving
3. Used when it looks bad
4. The school says no
5. It had not worked
6. Bought online instead
7. Is it worth doing
8. Does the order matter
9. Asking him to stop
10. Mentioned in passing
11. They want a test
12. Four months of exclusion
13. Only on both feet
14. A different doctor each time
15. Every winter, for years
16. She runs from the room
17. A whole year of this
18. He has stopped swimming

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: That the eczema is too severe for a cream to control, That facial skin absorbs less and needs longer, To mix the two together, Moving him to a cooler bedroom, Repeating the education about application, The school.

Clinical pearls from this deck

• Ask to see the tube. Quantity is the commonest reason nothing has changed.
• Choose the strength for the place, not for the picture.
• Write how often, for how long, and what happens next.
• The best regimen is the one that survives a working week.
• Tell them what better looks like before they decide it has failed.
• Nobody buys a natural cream by accident. Ask what frightened them.

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 dermatology case decks · pediatric reference values.