Arterial Ischaemic Stroke in Children – Board-Style Questions

What this deck covers

childhood arterial ischaemic stroke in 18 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 18 cases, in order

1. How it began
2. After the tackle
3. Not just a tummy bug
4. The heart behind it
5. All that milk
6. Third time, same pattern
7. Not one territory
8. Toddlers present differently
9. Lens and clots
10. The first call
11. A blocked main artery
12. After the scan
13. Protecting the brain
14. How long to take it
15. Who is most at risk again
16. Using the weak hand
17. A year later
18. A plan for the family

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Headache and vomiting that follow the weakness, Dissection of the right internal carotid artery, Viral gastroenteritis with dehydration and weakness, Bleeding into the brain from his heart drugs, Severe iron deficiency, a recognised risk factor, Recurrent transient ischaemic attacks, A bubble echocardiogram, Children under five rarely have a stroke of any type, Pyridoxine with a diet low in methionine, Observe for four hours to see whether it resolves itself, A heparin infusion and a repeat scan the following day, Thrombolysis now, despite the time elapsed, Correct the fever, the high sugar and the low oxygen, Only until he is discharged home.

Clinical pearls from this deck

• Sudden and maximal at onset: think stroke.
• Neck pain and a droopy eyelid: suspect a torn artery.
• Vertigo plus double vision: look at the back of the brain.
• Fontan child with a sudden deficit: clot from the heart.
• Pale toddler, lots of milk, sudden weakness: iron.
• Spreading weakness and a mother with the same: migraine.

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 Neurology case decks · pediatric reference values.