Miscellaneous – Exam Review Set 2

What this deck covers

Miscellaneous – Exam Review Set 2 in 60 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 60 cases, in order

1. Food from hours ago
2. Better on hands and knees
3. Chewed a second time
4. Four months of night sweats
5. Anything for his stomach?
6. Big by teatime, flat by dawn
7. The garden trampoline
8. Wrapped in a paper tissue
9. Six weeks of more miles
10. What is the brace for?
11. His friends have a club
12. Six days a week, all year
13. His feet touch the back
14. Building it in the garden
15. The father wants a smaller one
16. Both hands free in the kitchen
17. Found beside the cot
18. He crawled for the first time
19. Two floors onto paving
20. Three breaks in one term
21. The little one asked for it
22. It kept going off
23. Out again at half time
24. Beside her chair
25. One pink, one pale
26. Ready to go home
27. Back after two years away
28. Six weeks into treatment
29. A year on the waiting list
30. Handed one at the bonfire
31. She changed the subject
32. Eleven months in one room
33. Nobody wrote it down
34. Told he is away for work
35. A trip planned for the summer
36. One person does the talking
37. The one who stayed at home
38. Six weeks, no contact
39. An hour about the baby
40. He nodded at everything
41. Asked to settle a dispute
42. Shown once by her aunt
43. Red, and running about
44. Sore since bath time
45. Found at a routine check
46. A lump above the navel
47. Forty minutes and no car
48. Cautery twice, no change
49. Three weeks to prepare
50. Crossing seven zones
51. Six hours in the air
52. Five hours in the car
53. Heard through the wall
54. Just nipping into the shop
55. Every evening for hours
56. She blames the new incisors
57. A syrup from the pharmacy
58. In his mouth all day
59. Rocked before every sleep
60. He has told nobody

Diagnoses and management options tested

Across the 60 cases you are asked to choose between options such as: Gastroparesis, in, Sucralfate, A stress fracture, That being strapped in is what matters, not the seat, Reassurance alone, since he cried immediately, That the ladder position is the only issue, Fetomaternal haemorrhage affecting the smaller twin, Contact her mother’s neurologist for more adult care, Treat the injury and review in a month, By estimating his age clinically from his appearance, Surgical separation under anaesthetic, Refer her to her religious adviser, To continue the antihelminthic courses, That an antibiotic is now indicated.

Clinical pearls from this deck

• The insulin is on time and the meal is late. That mismatch is the diagnosis, and the low sugar after eating is the giveaway.
• Ask what position helps. A child who has learnt to eat on his hands and knees has told you where the obstruction is.
• Ask whether it tastes sour and whether it happens in his sleep. Two questions separate this from reflux and save two years of tests.
• The culture being negative is not evidence against it. Somebody has to take a piece of the peritoneum.
• Start it for the risk factors, and write the stop date the same day. Nothing outlives its indication like acid suppression.
• Ask what the abdomen looks like at breakfast. A belly that empties overnight was full of air, not disease.

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 miscellaneous case decks · pediatric reference values.