Epidermolysis Bullosa – Board-Style Questions

What this deck covers

Epidermolysis bullosa 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. Where he was lifted
2. Naming the level
3. Scars that follow
4. Why this child
5. Blisters once he walked
6. Bright red, and it bleeds
7. Missing skin on the shin
8. Worse in the heatwave
9. Putting a name to it
10. Picking him up
11. A tense dome on the heel
12. Choosing the dressing
13. Falling off the line
14. Food sticking on the way down
15. Hands that close up
16. A wound that will not close
17. The worst hour of the week
18. Planning the next pregnancy

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Neonatal herpes simplex acquired at the time of birth, Immunofluorescence mapping of a freshly induced blister, Simplex, in which the split lies within the basal cells, Mitochondrial inheritance, so every child of the mother is affected, A localised form limited to the hands and the feet, The hoarse cry, from the vocal cords, As an injury sustained during the delivery itself, Dehydration, which weakens skin in hot weather, Genetic testing that identifies the exact variants, Handle him only with sterile gloves at all times, Leave it intact, since the fluid will be reabsorbed, Ordinary adhesive island dressings, changed every day, Extra energy and protein, with iron for the losses, Reflux of acid causing pain behind the breastbone.

Clinical pearls from this deck

• Blisters where a newborn is handled: think fragility.
• Map a minutes-old blister to find the level of split.
• A split below the dense layer scars: dystrophic.
• Healthy parents, two affected children: recessive.
• Blisters starting with walking: localised simplex.
• Granulation round the nostrils: junctional disease.

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 dermatology case decks · pediatric reference values.