Eye Injury in Children – Board-Style Questions

What this deck covers

eye injury in children 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. Which chemical is worse
2. A pale ring
3. A red level in the eye
4. A teardrop pupil
5. Looking up fails
6. A falling pulse
7. Hands off
8. Pain at midnight
9. Out to the edge
10. Hammer and chisel
11. Rust within
12. Ask about the family
13. The inner corner
14. Sore two days on
15. The good eye clouds
16. To cover or not
17. Months afterwards
18. The quiet eye that cannot see

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Neither, since both behave in the same way, Destroyed limbal stem cells, so the cornea cannot heal, Pus in front of the iris, after infection, The drops given in triage have acted unevenly, The muscle beneath the eye is caught in a fracture, A head injury that has raised the pressure inside the skull, Ointment first, then a light pad and a review, Grit from the grinding still lying under the lids, Bleeding at many depths, reaching the far edge of the retina, A superficial scratch that will have healed by the morning, Ordinary ageing of the retina in a teenage boy, Which hand he writes with, for the eye patch, The tear drainage channel runs through that lid margin, A bacterial infection of the surface of the eye.

Clinical pearls from this deck

• Alkali keeps burning long after the splash.
• A white eye after alkali is the dangerous one.
• A flat level of red in front of the iris is blood.
• A pupil pulled to one side means an open eye.
• Little bruising with big restriction: trapped tissue.
• Vomiting and a slow pulse: free the muscle today.

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 ENT and ophthalmology case decks · pediatric reference values.