Infectious Disease – Set 1

What this deck covers

Infectious Disease – Set 1 in 50 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 50 cases, in order

1. Snuffles, rash and painful arms
2. Age cut-offs for the white count
3. Coughing bouts in a young infant
4. Eight weeks old with a fever
5. How childhood sepsis is now defined
6. Armpit swelling after a new pet
7. Testing a young infant’s urine
8. Teenager with red skin, low pressure
9. The clock for the first dose
10. Summer headache with neck stiffness
11. Blood count in a coughing infant
12. Risk band for a smiling toddler
13. Reading a private lab report
14. A rash that changed by evening
15. When to tell public health
16. Next test for an irritable baby
17. Does the swelling need a drug?
18. What would favour typhoid?
19. Confirming the cause of the cough
20. Before her first antibiotic dose
21. First act for a shocked teenager
22. Finding the cause in clear CSF
23. Playful infant with a high fever
24. First fluid for a shocked toddler
25. First IV drugs under 3 months
26. Fluctuant groin lump after a kitten
27. Infection control for a cougher
28. Empirical drug for community shock
29. Menstrual advice before going home
30. Legs held still at eleven weeks
31. A warning for the lab
32. Improving child, sterile cultures
33. Likeliest organism in the bottle
34. Still hypotensive after 40 mL/kg
35. The added drug for a scalded boy
36. When a neck lump needs a biopsy
37. Antibiotic choice at five weeks
38. The steroid question in shock
39. What to tell the parents at discharge
40. Day 4 gallop and a big liver
41. How long to suspect malaria
42. Oozing lines in purpura fulminans
43. Still shocked on two vasoactive drugs
44. Called back for a flagged bottle
45. Typical picture of soil mycobacteria
46. The risk of a steroid trial
47. Protecting babies before 8 weeks
48. Tense calf on day 2
49. Follow-up at almost two weeks
50. How long he remains infectious

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Early congenital syphilis, Decreased activity reported by his parents, Urgent microscopy and culture, not a dipstick, Partially treated bacterial meningitis, It confirms enteric fever as the cause, Chest X-ray, Blood culture, Ziehl-Neelsen stain for mycobacteria, Cefotaxime plus amoxicillin, Ceftriaxone, Because cultures can infect laboratory staff, Start dopamine as the first vasoactive drug, Azithromycin for 5 days, Myocarditis from the same virus.

Clinical pearls from this deck

• Snuffles plus a peeling palm-and-sole rash in an infant: check the mother’s antenatal screening.
• Read a child’s white count against the range for age, never the adult one.
• A young infant may not whoop; she may just stop breathing.
• Under 3 months, 38 °C or more is red: screen and treat as high risk.
• Sepsis is now defined by organ dysfunction, not by the white count.
• Node for weeks, kitten at home, papule upstream: cat-scratch disease.

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 infectious disease case decks · pediatric reference values.