Bleeding Disorders in Children — Board-Style Questions

What this deck covers

Bleeding Disorders 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. A hot knee in a new walker
2. One arm long, everything else normal
3. Adding normal plasma changed nothing
4. Less than one percent of normal
5. Her brother has it, and she is pregnant
6. He can feel it starting again
7. The same elbow, five times over
8. A bump on the head, and he seems fine
9. Heavy from her very first period
10. Something she can take at home
11. What worked for the child in the next bed
12. Clean bloods, and she still bleeds
13. An umbilical stump that kept oozing
14. Two boys, identical in every way
15. The usual dose did nothing today
16. Parents asking to put the jabs off
17. A hip he will not let anyone straighten
18. Oozing from every needle site

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A disorder of platelet function, Factor eight deficiency, By the age at presentation, A bypassing agent.

Clinical pearls from this deck

• These boys present when they start moving. Before that there is nothing to bleed into.
• Long clotting time, no bleeding at all? Think factor twelve, and stop investigating.
• Doses that used to work and now do not. Send an inhibitor assay before anything else.
• One and five percent are the two numbers. They divide the whole disease into three lives.
• A third are new mutations. A clean family history excludes nothing.
• Treat the boy, not the scan. He can feel it before anyone can see it.

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 Haematology case decks · pediatric reference values.