Congenital Cytomegalovirus – Board-Style Questions

What this deck covers

Congenital Cytomegalovirus 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. Hidden at birth
2. What predicts the future
3. Too late for urine
4. Swab after a feed
5. Who is treated
6. No signs, normal ears
7. The aim
8. By mouth or by vein
9. The eyes
10. Blue spots
11. Three women
12. Already immune
13. An avidity result
14. Testing the fetus
15. Advice in pregnancy
16. A preterm baby
17. Breastfeeding
18. The outlook

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Almost all have obvious signs at birth, The raised liver enzymes at birth, Test her stored newborn blood spot for the virus, Start antiviral treatment immediately, No treatment, since the damage is done, Six months of antiviral treatment, Removal of the calcification on the scan, The intravenous drug does not work against CMV, A renal ultrasound for cysts, Bruising from the low platelets alone, A primary infection early in pregnancy, No, prior immunity gives complete protection, A primary infection within the last few months, Amniotic fluid PCR, taken after about 21 weeks.

Clinical pearls from this deck

• Congenital CMV usually hides at birth.
• In congenital CMV, the brain findings carry the prognosis; the liver and skin recover.
• The newborn blood spot is a time capsule for congenital CMV.
• A breastfed baby’s saliva can carry his mother’s milk: check the urine.
• Symptomatic congenital CMV: start the antiviral in the first month.
• No signs, normal hearing: watch the ears, not the drug chart.

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.