Neurology – Exam Review Set 4

What this deck covers

Neurology – Exam Review Set 4 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. He asks about his licence
2. The question nobody asks
3. She has just found out
4. Nobody in the house sleeps
5. Everything is guessed for her
6. He falls down when he laughs
7. How fast does he drop off?
8. Asleep at three, up at noon
9. The same thing, exactly
10. Twenty minutes at lunchtime
11. Her mother wants them stopped
12. They want something started
13. He has never been seen alone
14. The plan has nothing for her
15. Nobody has checked her eyes
16. Ninety minutes, vessel blocked
17. He is within four and a half hours
18. Pressure high, scan normal
19. The fields are closing in
20. She still reads the chart
21. Two weeks of a heavy cold
22. Sweating above, cold below
23. He cannot sit still
24. It started on a Tuesday
25. A dot inside the ring
26. Asleep with his legs crossed
27. Pushing both hands on the wall
28. A new tool belt at work
29. An old break at six years
30. The family want the test now
31. The alarm sounded this morning
32. A painkiller after the dentist
33. Three minutes in the playground
34. Booked for an appendicectomy
35. Three weeks after the increase
36. Four months of daily fits
37. He walked better at five
38. Small canisters at the weekend
39. Three months of fever and sweats
40. A weekend in long grass
41. A bang at the door
42. A shiver, many times a day
43. Ten days old, and it happens at night
44. Three adults, three descriptions
45. Chin on her chest to see
46. Three weeks on the ventilator
47. Words that will not come
48. The room spinning since Tuesday
49. He cannot sit through a lesson
50. His first session on the machine

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Whether the seizure had a clear provoking cause, A sedating antihistamine at night, An overnight study followed by daytime nap tests, A hypnotic at night to consolidate his sleep, Refer on his eighteenth birthday, Start aspirin and admit for observation, Increase the acetazolamide and review in a month, Give a dose of paracetamol and observe him, Multiple small abscesses seeded through the blood, A urinary infection, It risks a low blood sugar, An inherited disorder of the long tracts, Compression of the spinal cord by a haematoma, Neonatal seizures.

Clinical pearls from this deck

• The clock starts at the seizure, not at the diagnosis, and treatment does not wind it forward.
• They have already read it. The choice is not whether they hear it, only from whom.
• The unmedicated pregnancy is not the safe one. Restart today, then have the proper conversation.
• Give the tablet and fix the hour. One without the other is half a treatment.
• The behaviour is the message. Give her a better way to send it.
• Awake while he crumples. That single fact separates cataplexy from every seizure.

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 neurology case decks · pediatric reference values.