Twins and Multiple Births: Neonatal Care — Board-Style Questions

What this deck covers

Twins and Multiple Births: Neonatal Care 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. Asked at the booking scan
2. One big, one small, one pale
3. Same size, different counts
4. Twenty per cent apart
5. The one who was left
6. Identical, or just alike
7. One trolley, two babies
8. Which one is which
9. Waiting with the first
10. Sent with the notes
11. Eight minutes later
12. Enough for two
13. One home, one not
14. Two red books, one appointment
15. Three at thirty-two weeks
16. Watching only one of them
17. Settled better side by side
18. Only one of them has it

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The sex of the babies, As an artefact of the scans, That he needs an exchange transfusion, Deferred for a full five minutes, Solely as a legal record, Move both twins to formula now, Review the smaller twin only, A single combined plan covering both babies.

Clinical pearls from this deck

• Ask which placenta before you ask anything else about a twin pregnancy.
• When blood moves between twins there is no well twin, only two problems facing opposite ways.
• Equal weights do not exclude a transfusion between twins; they point at the slow one.
• Two babies, one birthday, and two different plans.
• The survivor’s risk was taken days before he was born.
• One placenta is strong evidence of identical twins and is not proof of it.

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 neonatology case decks · pediatric reference values.