Chronic Recurrent Multifocal Osteomyelitis – Board-Style Questions

What this deck covers

Chronic recurrent multifocal osteomyelitis 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 site that rarely gets infected
2. Both sides, the same places
3. The sequence that shows it
4. Numbers that reassure nobody
5. Whether to take a piece
6. The name on the letter
7. Pain at night
8. Pustules on the palms
9. A family pattern
10. The first prescription
11. When the tablets are not enough
12. A squashed bone in the back
13. A jaw that will not open
14. Settling a bad flare
15. What to expect over the years
16. Back to normal life
17. The wrong specialist
18. What to tell the other children

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Lesions here are almost always tumour deposits, Several sites involved symmetrically while only one is painful, A sequence obtained only after intravenous contrast is given, They are too low to be genuine and the samples should be repeated, Sample only the solitary or unusual lesion, not the typical pattern, Septic arthritis of several joints, Muscle pain of growing children, always bilateral, As a contact reaction to the gymnastics equipment she uses daily, Majeed syndrome, in which bone disease and anaemia occur together, A six-week course of intravenous antibiotics, A surgical operation to fuse the affected part of the thoracic spine, A fracture from injury, which will remodel completely with time, The mandible, where it causes jaw pain and limited opening, Opioid analgesia at home for four weeks.

Clinical pearls from this deck

• A swollen medial clavicle points away from bacteria.
• Several symmetrical sites, and mostly not painful.
• Fat-suppressed fluid imaging lights up the marrow.
• Normal markers here exclude nothing at all.
• Typical and multifocal: no tissue needed.
• The modern name says plainly that no bacterium is there.

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.