What this deck covers
Chronic Kidney Disease in Children 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 board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.
The 18 cases, in order
- Two results, four months apart
- Which numbers go into the sum
- The commonest cause in children
- Falling off the chart at seven
- Bone pain and a waddling gait
- When to swallow the tablet
- Pale, tired and low on iron
- A number that stays at sixteen
- Pressure and protein together
- What to take off the plate
- Knowing when it is time
- Choosing the modality for a toddler
- The best outcome available
- The window that closes at transplant
- What actually drives the decline
- An ordinary illness, a fragile kidney
- Handing over to the adult team
- Two vitamin D preparations
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: Stage 2, Weight and plasma creatinine, Congenital anomalies of the kidney and urinary tract, Increase his dietary protein, Excess vitamin D driving bone resorption, A non-calcium binder, taken with meals, Transfuse two units of packed red cells, No treatment, as the acidosis is compensated, An angiotensin converting enzyme inhibitor, Restrict fluid and salt tightly, The family’s preference alone, Continuous venovenous haemofiltration, Haemodialysis until he finishes primary school, Age at diagnosis and sex.
Clinical pearls from this deck
- One abnormal creatinine is acute until three months have passed; only then is it chronic.
- The Schwartz estimate fails where muscle bulk is unusual, which is common in the children who need it most.
- Paediatric kidney failure is mostly congenital; adult kidney failure is mostly acquired.
- Growth hormone fails if the acidosis, the anaemia or the bone disease has not been fixed first.
- High phosphate with low calcium and a high parathyroid hormone is renal bone disease; high calcium would mean something else.
- A phosphate binder taken between meals is a placebo with side effects.
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 nephrology case decks · pediatric reference values.
