ANCA-Associated Vasculitis – Board-Style Questions

What this deck covers

ANCA-associated vasculitis 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. Nose, lung and kidney
2. The cytoplasmic pattern
3. A nose that has sunk
4. Hoarse and noisy
5. What the chest scan shows
6. Breathless and pale
7. Bringing it under control
8. Protecting the bladder
9. He wants to stop
10. Asthma, then a dropped foot
11. Wrist, then foot
12. Nothing above the neck
13. The eye that sticks out
14. Glue that keeps coming back
15. The number went up
16. What the pathologist sees
17. Noisy, but quiet elsewhere
18. What the team watches

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Tuberculosis of the lung with renal involvement, Proteinase 3, the usual target in the granulomatous form, The bone has been fractured and has healed badly, Compression of the trachea by an enlarged thyroid, Several rounded lesions, some with a hole inside them, Pneumonia caused by the drugs suppressing her immunity, Colchicine with a non-steroidal anti-inflammatory drug, A diuretic given before and after each of the pulses, Maintenance should continue for at least eighteen months, A slipped disc pressing on a nerve root, Compression of the nerves where they cross bony points, Lupus nephritis presenting for the very first time, An inflammatory mass growing behind that eye, Repeated infections caught from her younger brother.

Clinical pearls from this deck

• Nose, lung and kidney together: think this vasculitis.
• Cytoplasmic pattern means proteinase 3 disease.
• A sinking nasal bridge means the cartilage has gone.
• Stridor in this disease means the subglottis.
• Cavitating nodules are the classic lung finding.
• A falling haemoglobin with white lungs is bleeding.

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 rheumatology and immunology case decks · pediatric reference values.