Development and Behaviour – Set 6

What this deck covers

Development and Behaviour – Set 6 in 50 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 50 cases, in order

1. Teenager who gave up her sport
2. Voices, suspicion and withdrawal
3. Weekday-only morning pain
4. Weight loss and fear of gaining
5. Wet again after years dry
6. Headaches, leg pains and a pain diary
7. Forearm cuts and thoughts of dying
8. Pointers to a medical cause
9. Washing and checking rituals
10. Reading her blood chemistry
11. When to begin potty skills
12. Voice loss after conflict
13. Five flat weeks after a settled year
14. The feature outside the criteria
15. Patchy hair loss on the crown
16. Where he should be treated
17. Bedwetting since a family upheaval
18. Request for more investigations
19. Parents call it attention-seeking
20. Tracking his weight early on
21. Advice on attendance
22. Secret overeating, then vomiting
23. Still wet after three months
24. Therapy with the best evidence
25. First treatment for his low mood
26. Twisted neck after the new tablet
27. Fear of blushing in class
28. Starting nutrition safely
29. New night wetting at six
30. Explaining the results to the family
31. Starting long-term mood treatment
32. Six weeks of voices in clinic
33. Warning feature in the story
34. First talking treatment once stable
35. Camp in a fortnight, wants dry nights
36. Next part of the assessment
37. First plan after the diagnosis
38. First step for the pulling
39. Weakness and swelling on day 3
40. First drug for the acute episode
41. Telling it apart from autism
42. Opening move for the rituals
43. Adding a medicine to her therapy
44. Rising weight on treatment
45. Mornings at the school gate
46. Tremor and unsteadiness after a bug
47. Twelve weeks of voices, no label yet
48. When therapy is not enough
49. Antiepileptics after a second episode
50. Outlook for early-onset illness

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Major depressive disorder, Anorexia nervosa, Urgent mental health assessment with a safety plan, Respiratory alkalosis from overbreathing, No new treatment; review him in 3 months, Admission to an adult psychiatric unit, Most have no psychiatric disorder of any kind, Anorexia nervosa, binge-eating/purging type, Psychodynamic psychotherapy for at least 3 months, Delay any feeding until her potassium is normal, Lithium, after renal, thyroid and calcium tests, Individual CBT for eating disorders, Oral antipsychotic with family intervention and CBT, Fluoxetine, to prevent a return of low mood.

Clinical pearls from this deck

• In a teenager, lost interest plus poor concentration is depression until proven otherwise.
• Voices, suspicion and decline in a teenager with an affected parent: think schizophrenia first.
• Pain that keeps a school timetable, and takes weekends off, points to school refusal.
• The scale, not the vomiting, separates anorexia from bulimia.
• Dry for 6 months, then wet: ask what changed.
• In somatic symptom disorder the diagnosis rests on the response to the symptom, not its explanation.

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 development and behaviour case decks · pediatric reference values.