What this deck covers
Diabetes: Ongoing Management and Complications 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
- High after one meal only
- Working out a top-up
- Waking high every morning
- What a good report looks like
- When the reading and the child differ
- Unwell with a red site
- Lows that come hours later
- Time to start looking
- Checking the kidneys each year
- More than one number is wrong
- Do the checks come round again
- Small, late and a big liver
- Numbers that do not match the story
- Behind the wheel
- Getting ready to move on
- Extra jabs for this child
- A late night that went wrong
- Starting at a new school
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: A correction dose two hours after eating, About 12 units, A dawn rise driven by counter-regulatory hormones, Over 50 per cent in range with no lower limit set, Repeat the sensor scan in thirty minutes, Give a correction bolus through the pump, Avoid all sport until the readings settle, Now, and every year afterwards, A serum creatinine on its own, Treat both alongside improving the glucose control, Both repeated every month, Growth hormone deficiency, Insulin resistance related to puberty, No action is needed as she is over sixteen.
Clinical pearls from this deck
- In range before the meal, high after it: blame that meal’s dose, never the background.
- A hundred divided by the daily total tells you how far one unit moves the number.
- No overnight low means it is not rebound. Look at the trace before you cut the insulin.
- Seventy per cent in range, under four per cent low. A high average is not the only way to fail.
- An arrow pointing down means the blood is already lower than the number on the screen.
- Ketones on a pump means pen and new set. Never send the rescue dose down the suspect line.
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 Endocrinology Board Questions case decks · pediatric reference values.
