Emergency and Toxicology – Set 1

What this deck covers

Emergency and Toxicology – 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. Grey, floppy boy with a slow pulse
2. Three sides of the doorway look
3. Limp toddler, grandmother alone
4. Drowsy after two days without food
5. Peanuts at a family gathering
6. Unresponsive on the playroom floor
7. Boy on his bedroom floor at 7 am
8. Choosing a cuffed tube at 4 years
9. Feverish girl, fast pulse on monitor
10. Collapsed son in the garden
11. Silent cough in the dining hall
12. Wheezy girl who has stopped crying
13. Ward collapse, CPR already under way
14. Collapse in the nursery playground
15. Dose sheet for a 4-year-old
16. Quiet, pale infant, pulse now falling
17. Unvaccinated boy who drools
18. Collapse in a supermarket aisle
19. Drowsy toddler at her uncle’s flat
20. Arrest after days of bloody diarrhoea
21. Pink again after 2 minutes of bagging
22. Meat stuck, first manoeuvre failed
23. Aunt alone with a collapsed boy
24. Snoring breaths after a long seizure
25. Unresponsive since a car crash
26. Lost on a hillside on a winter night
27. Anaesthetist ready during CPR
28. Limp after choking on a grape
29. Mottled toddler, two failed cannulas
30. Father cannot wake his 5-year-old
31. Asthma attack, now too tired to speak
32. The 20-minute question in a cold girl
33. Drooling girl frightened by the nurse
34. Shallow strokes from a tiring nurse
35. Apnoeic spell on the ward at 5 months
36. Low calcium on the ventilator
37. One-sided wheeze 3 days after a peanut
38. Five staff at the bedside, no plan yet
39. Tube confirmed during CPR
40. No response after five breaths
41. Found on the bathroom floor at 6 am
42. Tense calf after 90 minutes of fluid
43. Circulation back, still on 100% oxygen
44. Cannot swallow her own saliva
45. Choosing a limb for a bone needle
46. Thirty minutes in, how long to go on
47. Apnoea after sedation for a fracture
48. Getting hotter after two shocks
49. Equipment for a swollen epiglottis
50. Before the retrieval team arrives

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Compensated respiratory distress, 2 mL/kg of 10% glucose IV, A CT scan of the head, Give IV atropine before the rhythm is known, A vagal reflex from coughing that will settle, Hypoglycaemia alone, Five abdominal thrusts, Keep the face-mask oxygen on and observe her closely, Sweep a finger blindly through her mouth, A rising blood pressure, She carries on until the next dose of adrenaline, Rigid bronchoscopy under general anaesthesia, Give abdominal thrusts while he lies unresponsive, Anything above 85%.

Clinical pearls from this deck

• A slow heart rate in a breathless, drowsy child means arrest is minutes away.
• The triangle is judged in seconds, from the doorway, with no equipment.
• Safe, stimulate, shout: then call from the child’s side.
• DEFG: don’t ever forget glucose.
• A loud cough is the best tool for clearing the airway.
• Neutral for infants, sniffing for children.

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 emergency and toxicology case decks · pediatric reference values.