Familial Mediterranean Fever – Board-Style Questions

What this deck covers

Familial Mediterranean fever 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. One to three days
2. A normal appendix at five
3. Neither parent ill
4. Which result is worst
5. One change only
6. Red over the shin
7. A hot knee, then nothing
8. Sharp on the right
9. He wants to stop it
10. Loose since she started
11. Colchicine has failed
12. Well, but not quiet
13. The surgeons are ready
14. Around her periods
15. Can he take more
16. Three weeks of thigh pain
17. She read it online
18. The well sister

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Attacks lasting two to three weeks, with pain that lingers, Familial Mediterranean fever, One faulty copy inherited from a parent who is affected, No change identified in the gene at all, The diagnosis stays clinical, and the gene test only supports it, Bacterial cellulitis needing intravenous antibiotics, The start of a chronic arthritis that will damage the joint, An embolism in the lung from a vein in the pelvis, It must continue for life, even during long attack-free spells, Stop the tablet at once and change to a different drug, A long course of oral corticosteroids, That the laboratory sample was taken incorrectly, Observe him, as the pain settles within days on its own, No precipitating factor has ever been identified in this illness.

Clinical pearls from this deck

• Short, self-limiting attacks with full health between.
• Recurrent one-day peritonitis with a normal appendix.
• Two faulty pyrin genes, one from each parent.
• Two M694V copies means the most severe disease.
• The diagnosis is clinical; the gene only supports it.
• A hot patch on the shin that vanishes in days.

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.