Childhood Systemic Lupus Erythematosus – Board-Style Questions

What this deck covers

Childhood systemic lupus erythematosus 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. The gate at the front
2. Red across the cheeks
3. Something he never felt
4. After the holiday
5. Pale and yellow
6. One line is low
7. One number out of step
8. Voices and a fit
9. Worse lying flat
10. Slow from the start
11. White, blue, then red
12. What the tablet can do
13. Three checks every visit
14. A year of acne treatment
15. Not the adult picture
16. Specific, but not common
17. Big nodes and a big spleen
18. Bent, but not broken

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The sample must be repeated a third time before anything is decided, A butterfly pattern that spares the creases beside the nose, Recurrent aphthous ulceration unrelated to his rheumatic disease, Missing a single dose of her tablets while she was away, Immune destruction of her red cells by the underlying disease, A hidden viral infection that is suppressing his bone marrow, An allergic reaction to one of her regular medicines, An adverse reaction to her antimalarial tablets, Inflammation of the linings around the heart and the lung, A structural malformation of the atrioventricular junction, Refer for sympathetic nerve surgery, Monthly measurement of the pressure inside the eye, Hardening of the arteries begins unusually early in lupus, Childhood systemic lupus of the ordinary autoimmune pattern.

Clinical pearls from this deck

• No antinuclear antibody, no lupus classification.
• Butterfly rash spares the folds; seborrhoea fills them.
• Look at the palate: lupus ulcers are painless.
• Sunlight can flare lupus far beyond the skin.
• Lupus destroys red cells as readily as kidneys.
• Lymphopenia is the lupus; neutropenia is the drug.

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 rheumatology and immunology case decks · pediatric reference values.