Prader-Willi Syndrome – Board-Style Questions

What this deck covers

Prader-Willi syndrome 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. A floppy baby who won’t feed
2. The toddler years
3. Another child
4. A small scrotum
5. Why treat a normal grower
6. Tonsils out
7. Managing the hunger
8. A swollen belly
9. No fever
10. Sores that don’t heal
11. A change of plan
12. A change in a young man
13. Reading the thyroid
14. Early hair
15. At the dentist
16. Weak bones
17. At the table
18. Surgery for weight

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A muscle biopsy from the thigh, Weight gain begins before the appetite increases, The chance is one in two, Wait until puberty for the testes to descend, Improves muscle and body composition, not just height, Stopping growth hormone for three months first, Explain the risks of obesity to him more firmly, Constipation from low fibre, Serious infection can occur without fever, A bleeding disorder causing bruising, Punish the outbursts firmly, A normal reaction to leaving school, Free T4, as TSH may be normal, Central precocious puberty.

Clinical pearls from this deck

• Floppy, poor-feeding newborn with small genitals: test methylation of 15q.
• Prader-Willi syndrome: the weight comes before the hunger.
• A new deletion: a low chance of it happening again.
• Undescended testes in Prader-Willi syndrome: orchidopexy as usual.
• Growth hormone in Prader-Willi syndrome: for muscle, not just height.
• Prader-Willi syndrome and surgery: think about cortisol cover.

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 Endocrinology Board Questions case decks · pediatric reference values.