Infantile Haemangioma – Board-Style Questions

What this deck covers

Infantile haemangioma 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. It was not there at birth
2. Fully formed on day one
3. A pale patch first
4. Which of the babies
5. Blue, and under the skin
6. Seven of them, all small
7. One whole side of the face
8. Sitting over the spine
9. Growing over the eye
10. The decision to treat
11. Before the first dose
12. A wheezy fortnight
13. A raw and painful patch
14. Six weeks and much better
15. Come back at a year
16. What will be left
17. Firm, purple, and the count is falling
18. Small, and on the back

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: No further change at all now that it has reached this size, A lesion already complete at birth, which behaves differently, A patch of skin damaged by the pressure of the forceps, Having a mother who smoked throughout the pregnancy, Doppler ultrasound, which shows a solid lesion with fast flow, A skin biopsy of the largest of the seven scattered lesions, Reassurance and review at a year, when it will all have faded away, A referral to orthopaedics to check the hips again, Permanent loss of sight in that eye if the lid stays shut, Oral prednisolone for six weeks as the first-line treatment, An echocardiogram, which is required in every single case, Stop it permanently and make an appointment for next month, Pain relief, a non-stick dressing and a barrier against urine, For four weeks in total, which is the standard whole course.

Clinical pearls from this deck

• Faint at birth, fast growth, then years of shrinking.
• Complete at birth and fading already: a congenital one.
• A pale patch with fine vessels comes before the red.
• Preterm and small: the two strongest associations.
• A deep blue swelling is settled by Doppler ultrasound.
• Five or more skin lesions: scan the liver.

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 dermatology case decks · pediatric reference values.