Pneumonia

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What this deck covers

Pneumonia in twelve board-style clinical cases with worked explanations, written for the Saudi Prometric (SCFHS) exam, MRCPCH Part 1 and Part 2, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

  1. A child seen in clinic
  2. What the imaging is for
  3. What is happening in the lung
  4. Reading the axial slice
  5. Choosing the drug and the duration
  6. Two days later on the ward
  7. A probe on the chest
  8. Looking at the collection
  9. The sample in the pot
  10. The tube on the ward round
  11. Holes in the lung
  12. The third admission

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Dilated bronchi, indicating established bronchiectasis, A simple pleural effusion, unloculated, Normal lung obscured by rib shadowing, Consolidated lung with air bronchograms, A septated empyema with fibrin strands, Poorly controlled asthma presenting as recurrent pneumonia.

Exam pearls from this deck

  • Imaging earns its place when it changes something: a complication found, or a failure explained.
  • The figures run normal, then congested capillaries, then alveoli packed with exudate.
  • An air bronchogram is air in a bronchus made visible because the alveoli around it are no longer air.
  • Streptococcus pneumoniae remains the commonest bacterial cause across childhood, and amoxicillin covers it.
  • Normal lung is all artefact — a bright pleural line with horizontal A-lines repeating beneath it.
  • Strands are fibrin: the collection has moved from free-flowing fluid to an organising one.

The deck above is free and needs no sign-in. Work through it once for recognition, then again a week later for recall — the questions are written in the format the exam actually uses.

More from this system: all respiratory decks and question sets · the free Pediatric Prometric question bank · pediatric reference values.

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