Childhood Interstitial Lung Disease – Board-Style Questions

What this deck covers

Childhood Interstitial Lung Disease 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. Four boxes to tick
2. Splutters with every bottle
3. What the scan adds
4. Where the haze sits
5. The years ahead
6. Better for an hour
7. Three generations
8. Healthy parents, two children
9. Three organs, one gene
10. Sugar in the lung
11. Feathers in the lounge
12. Ulcers and a dry cough
13. Pale without coughing blood
14. Nothing named yet
15. No cure in a bottle
16. Worse despite the basics
17. Silent pressure
18. Why the name matters

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A lung biopsy to settle the diagnosis quickly, Proof of an infection that the film could not show, Mosaic attenuation with widespread dilated bronchi, Surfactant protein B deficiency, ABCA3 deficiency, inherited from both parents, A dominant surfactant protein C gene variant, Brain-thyroid-lung syndrome, NKX2-1 variant, Neuroendocrine cell hyperplasia of infancy, Montelukast with a bronchodilator before exercise, Anti-TIF1-gamma antibody, Haemosiderin-laden macrophages in lavage fluid, Continue oxygen alone and review her in a year, A trial of high-dose inhaled steroid used alone, Montelukast.

Clinical pearls from this deck

• chILD syndrome: count to three out of four, after the common causes are gone.
• Before calling it chILD, watch the child swallow.
• In chILD, the CT is a map: sometimes it names the place, sometimes it shows where to dig.
• NEHI favours the right middle lobe and the lingula.
• NEHI is a slow road, but it runs uphill.
• Term baby, surfactant helps for an hour, a sibling lost: think of surfactant protein B.

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 Respiratory case decks · pediatric reference values.