Infectious Disease – Set 6

What this deck covers

Infectious Disease – Set 6 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. Febrile after Jazan, first test
2. Rising temperature after Dhaka travel
3. Confirming the suspected infection
4. Febrile traveller from Asia
5. Huge spleen and falling counts
6. What the positive sample shows
7. Infant faltering with greasy motions
8. Tick, then a rash from the wrists
9. Uncomplicated case, first drug
10. Confirming it on day 3
11. Seizures and coma after Sudan
12. Proving the parasite is present
13. Farm child with sweats and sore joints
14. Treating the protozoan
15. Crescent shapes on the thin film
16. Isolation question on the ward
17. Pulse and blood count pattern
18. Warning sign to watch for
19. Route of spread in the hills
20. Antimalarial for the comatose child
21. Soil eating, wheeze and a big liver
22. Route of acquisition on the farm
23. Black painless sore after goat hides
24. Newly drowsy four hours into care
25. Day three, drinking and alert
26. High protein with low albumin
27. Drowsy with tarry stools after Delhi
28. Negative first result, fever persists
29. Back to childcare timing
30. Week-three danger in the gut
31. First-line drug after marrow result
32. Relapsing species, the clue
33. Starting therapy under 8 years
34. Confirming the farm fever
35. Alert and drinking after Sierra Leone
36. Warning signs, no shock, first plan
37. Red urine after canal swimming
38. Treatment under eight years
39. Dexamethasone suggested for coma
40. Judging success long term
41. Low sugar in the seizing child
42. Still febrile on day three
43. Frothy motions after cure
44. Pain that imitates the appendix
45. Finishing once she is awake
46. Fever returns four months on
47. Keeping the household safe
48. Fever gone on day five, pain begins
49. Pale barefoot child, eggs in stool
50. Covering what cannot be excluded

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Blood culture, Chikungunya virus infection, Sweat chloride test, IgG antibody on a single serum sample, Visceral leishmaniasis, Airborne isolation in a negative-pressure room, Bite of an Anopheles mosquito, A tick bite while herding the family’s animals, Home with oral fluids, paracetamol and daily review, Start treatment without further testing, Oral miltefosine for 28 days, Leishmania rK39 dipstick test, Albendazole, A normal-sized spleen by discharge.

Clinical pearls from this deck

• Fever plus a stay in Jazan equals a blood film today, not tomorrow.
• A fever that climbs like a staircase after South Asian travel, with a calm pulse and a low white count, is typhoid until the culture says otherwise.
• In the first week, typhoid lives in the blood: culture it before the first antibiotic dose.
• Fever with pain behind the eyes in a traveller from the tropics: think dengue, and exclude malaria.
• A huge spleen, falling counts and high globulins in a feverish child from the south-west: think kala-azar.
• Rings inside red cells: that is malaria.

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.