Infectious Disease – Set 4

What this deck covers

Infectious Disease – Set 4 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. Wasted toddler with parotid swelling
2. Hot and shivery on induction
3. Swollen cheeks in a school outbreak
4. How the virus weakens defences
5. Stopping spread in a six-cot bay
6. Breathless infant, mother just tested
7. Breathless six weeks after transplant
8. Usual culprit in a port fever
9. Inherited risk of the same mould
10. Ex-preterm infant with two viruses
11. Sore mouth and high sugars
12. Time off school with parotitis
13. Rigors after a line flush
14. A named syndrome the parents read of
15. Waiting-room contact after transplant
16. First drug for a mould in the lungs
17. Timing for an infant just diagnosed
18. Can the catheter stay in?
19. How to nurse a child with flu
20. New chest signs on day 2 of treatment
21. Low oxygen on day 1 of treatment
22. Headache five days into parotitis
23. Who else in the household to screen
24. Treating lung disease after a graft
25. Afebrile after two weeks of IV therapy
26. Right-sided pain on chemotherapy
27. What to start alongside treatment
28. A nursery room with red eyes
29. White mouth plaques at 6 weeks
30. Two culture bottles, two timings
31. Grading a newly diagnosed child
32. Fever returns at count recovery
33. Confirming the cause of the swelling
34. Tracking a latent virus after graft
35. Drowsy and cold a day into treatment
36. The immunisation he must not have
37. Rash and a falling count on day 6
38. Protecting an ex-preterm this winter
39. Bloody stools on the oncology ward
40. Jabs while virus is still detectable
41. Persistent fever and a huge ferritin
42. Which two findings are most telling
43. Parents’ worry about the testes
44. Resistant isolate, child now well
45. Travel jab and a low CD4
46. Itching that keeps coming back
47. Fever, lung nodules and a perforation
48. Mother asks about her next delivery
49. Blood in the urine months after graft
50. Preventing a second lung infection

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: HIV antibody test on her blood, CD8 (cytotoxic) T lymphocytes, Epstein-Barr virus, None, as his symptoms began over 48 hours ago, Piperacillin-tazobactam plus vancomycin, Caspofungin, Airborne precautions in a negative-pressure room, Encephalitis from the same virus, Change to oral fluconazole, Through the air over long distances only, Stage 3, because of her persistent oral thrush, IgM antibody on a serum sample, IV clindamycin alone, Give on schedule, with extra pneumococcal doses.

Clinical pearls from this deck

• Under 18 months, test for the virus (PCR), not the antibody.
• Fever and neutropenia on chemotherapy: antibiotic within the hour, not after the count or the cultures.
• Swelling of both parotids pushing the earlobes out is mumps until proved otherwise.
• HIV is a disease of the CD4 cell.
• RSV rides on hands: clean them before and after every touch.
• Pneumocystis pneumonia: high-dose co-trimoxazole for three weeks.

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.