Infectious Disease – Set 5

What this deck covers

Infectious Disease – Set 5 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. Sore throat, then a rough rash
2. Scoring a sore throat
3. Worsening pneumonia on ceftriaxone
4. Boils that keep coming back
5. Family of a child in intensive care
6. Limp, fever and a tender shin
7. Repeat chest film in a sick toddler
8. Positive blood test plus symptoms
9. Tracking recovery of a bone infection
10. Feeling better on day 2
11. Tender blisters in a toddler
12. Getting samples from a small child
13. Swollen eyelids with fever
14. Chickenpox, then a painful thigh
15. Antibiotic for an infected radius
16. Febrile toddler who will not walk
17. Purpose of tracing around a child
18. Toddler with a nodular chest film
19. Deep forearm infection with shock
20. Where the blister forms
21. Proven streptococcal throat
22. How a toddler caught her illness
23. Fever persisting on day 5 of treatment
24. Hot knee at 30 months
25. Fever with a bulging eye
26. Flexed hip with no effusion
27. Where an orbital infection began
28. Red patch around a scratched spot
29. Finding the bug in a peeling child
30. Why two drugs for streptococcal shock
31. Yellow eyes in week 3 of therapy
32. Hidden spread beyond the lungs
33. Sore red skin that shears off
34. Bone infection in sickle cell disease
35. Return to class with a rash illness
36. Blurred vision on day 2 of treatment
37. Proptosis seen in general practice
38. Improving on IV treatment
39. Ward plan for a child being sampled
40. Scan for a suspected muscle abscess
41. Narrowing cover once cultures return
42. Outlook after widespread peeling
43. Cocci in clusters in pleural fluid
44. Treatment plan once the CNS is clear
45. Second eye swells during treatment
46. Swollen ankle after mouth ulcers
47. Proving the cause of tonsillitis
48. Well child of a father on treatment
49. What the vaccine would have offered
50. Heart scan for a positive culture

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Scarlet fever, Six months of oral flucloxacillin for him, Hyperinflation with patchy collapse, To prevent post-streptococcal glomerulonephritis, Preseptal (periorbital) cellulitis, MRI of the pelvis the next day, Urgent surgical exploration and debridement, Drinking unpasteurised cow’s milk, Plain X-ray of the sinuses, Streptococcus pyogenes (group A streptococcus), Continue all four drugs and recheck in a month, Group A streptococcus, Admit for IV antibiotics with ENT and eye review, Fluid distending the hip joint.

Clinical pearls from this deck

• Sandpaper to the touch, pale around the mouth, red in the creases: scarlet fever.
• The sore throat that comes with a cough and a runny nose is usually viral.
• Boils plus a pneumonia that outruns ceftriaxone: think staphylococcus.
• Treat the whole household at once, or the carriage comes back.
• For iGAS contacts, information for everyone; antibiotics for the few at highest risk.
• Point tenderness over the metaphysis plus fever is osteomyelitis until imaging says otherwise.

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.