Infectious Disease – Set 2

What this deck covers

Infectious Disease – Set 2 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. Where to admit a febrile rash illness
2. Playground bite through the skin
3. Home treatment of a chest infection
4. Timing of mother-to-baby spread
5. Grey membrane over both tonsils
6. Arriving at the bedside to examine
7. Loose stools on day 6 of antibiotics
8. Commonest serious harm of endocarditis
9. Untraceable stray, bitten abroad
10. Unit-wide step against spread
11. Negative rapid test, what now
12. Airborne case, staff face protection
13. Three hepatitis B markers to read
14. Alcohol rub, how long
15. Admitted, vomiting every dose
16. Clearing a toxigenic throat organism
17. Wheezy infant in a shared bay
18. Toxin-positive stool, nursing plan
19. Early cellulitis after a cat bite
20. Why two drugs in early infancy
21. Resistant staphylococcus in his blood
22. Everyday risk at home
23. Culture flags at 30 hours
24. Dressing to enter an isolation room
25. Sensitive streptococcus on a valve
26. Proving a suspected throat infection
27. Still febrile, taking theophylline
28. Needlestick, the numbers
29. Stools turn bloody on clindamycin
30. Wound care for the punctures
31. Ventilated, new infiltrate
32. Unit cluster, how it spread
33. Transplant girl, jaundiced brother
34. Improving at 48 hours
35. Serology back, isolation to review
36. Throat membrane, most urgent step
37. Nephrotic relapse with a sore belly
38. Low compliance, lasting fix
39. Ring-enhancing lesion, first cover
40. Ward outbreak, first control step
41. Rusty nail through his trainer
42. Aminoglycoside added, lasting harm
43. Antiretroviral cover after a prick
44. One isolation room, four referrals
45. Day-5 fever, catheter urine
46. Choking at home, gap in cover
47. Second week, new faintness
48. Fresh dog bite, which tablet
49. What an unvaccinated boy might show
50. Oysters before illness, likely causes

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Open bay with curtains and droplet precautions, Across the placenta during early pregnancy, Culture for Campylobacter and Yersinia, Daily chlorhexidine bathing of every patient, Immunity from vaccination only, Ciprofloxacin for 3 days, Staphylococcus aureus, Sharing cups and cutlery, Oral amoxicillin for 2 weeks, About 10% for each of the three, Piperacillin-tazobactam with vancomycin, Add IV ampicillin for the ear organism, IV flucloxacillin, Oral vancomycin prophylaxis for every ward patient.

Clinical pearls from this deck

• Measles, chickenpox and pulmonary TB: airborne precautions in a negative-pressure room.
• Human bite through skin: clean it and give co-amoxiclav.
• Non-severe pneumonia from 3 months to 11 years: amoxicillin for 3 days.
• Hepatitis B passes mother to baby mainly at birth: vaccine and HBIG within 24 hours.
• A membrane that bleeds when you lift it is diphtheria until proved otherwise.
• Before touching, before aseptic, after fluids, after touching, after surroundings.

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.