Intrauterine Growth Restriction and the Small-for-Dates Infant — Board-Style Questions

What this deck covers

Intrauterine Growth Restriction and the Small-for-Dates Infant 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. Under the line on the chart
2. Head bigger than the body allows
3. A short family
4. One measurement, two weeks apart
5. In, or out
6. The gas from the cord
7. Low counts on the first sample
8. Never seems to stop asking
9. More than the size
10. Why it happened at all
11. Filling out by the fortnight
12. Which chart he goes on
13. Still on the second centile at two
14. What to say about later life
15. Who follows him up
16. Asking about the next one
17. Two lines on one page
18. The label that outlives the baby

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Against a chart adjusted for his parents’ size, That the cause is almost always something avoidable, No change for six weeks, after, A chart adjusted for his birth weight, As an error in one of the measurements.

Clinical pearls from this deck

• Ask what his growth did, not only where it finished.
• Proportionate smallness points early; disproportionate smallness points late.
• A customised chart asks whether this baby is small for this mother.
• A baby can be restricted all the way down through the normal range.
• The neonatal team’s job in that room is to price the alternative.
• A normal cord gas closes the delivery, not the pregnancy.

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.