Gastroenterology – Set 1

What this deck covers

Gastroenterology – Set 1 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. Arching episodes around feeds
2. Hungry after every forceful vomit
3. Kitchen-drawer object on the films
4. Pain at 1 am, eased by a snack
5. Solids, then drinks, now weight loss
6. Drain cleaner, clean-looking mouth
7. Blood days after a battery
8. Milky vomit, never green
9. Solids sticking in an atopic boy
10. Stomach or duodenum from the story
11. When does posseting become disease?
12. Coin stuck high in a well boy
13. Air-fluid level behind the heart
14. Examining a screaming infant
15. Choosing the first H. pylori test
16. Unsafe first aid for oven cleaner
17. Coin that has reached the stomach
18. Seven big bottles daily, posseting
19. How omeprazole cuts acid
20. How toddlers show the same disease
21. Blood gas in a vomiting infant
22. Arms overhead to get food down
23. Telling milk allergy from reflux
24. Old food vomited hours after meals
25. When a caustic scope is riskiest
26. First imaging for a vomiting girl
27. Still screaming after thickened feeds
28. Strain virulence and cancer risk
29. What the endoscopist should see
30. Fever and food on the pillow
31. Proving the infection has gone
32. Contrast meal when scanning waits
33. Coffee-ground streaks and low iron
34. Hair loss and an upper abdominal mass
35. Grading an alkali burn at endoscopy
36. Biopsy count that confirms it
37. Jejunal ulcers after a cure
38. Linking night cough to reflux
39. Shocked before pyloromyotomy
40. Keeping a stomach cast from recurring
41. Faint after vomiting blood
42. One procedure for lasting relief
43. Reading a gastric emptying study
44. Drooling at meals five weeks on
45. Dysphagia despite high-dose PPI
46. Restarting an NSAID safely
47. Chances for a future sibling
48. Chicken stuck for three hours
49. Unsafe swallow, failed medicines
50. Bleeding on intensive care

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Infantile spasms of West syndrome, Lesser curve of the stomach, Mallory-Weiss tear after forceful retching, Pain that wakes the child in the night, Corkscrew oesophagus with tertiary waves, Nil by mouth with intravenous fluids, H+/K+-ATPase pump of parietal cells, Manometry: poor sphincter relaxation, no peristalsis, Immediately, within the first hour, Outer membrane lipopolysaccharide, Stool antigen 4 weeks after, off PPI 2 weeks, Gastric trichobezoar, Secretin, Long-term proton pump inhibitor treatment.

Clinical pearls from this deck

• Arching tied to feeds with preserved awareness in a thriving baby is Sandifer posturing: reassure, do not order an EEG.
• Hungry, projectile, non-bilious, 2 to 8 weeks: examine the pylorus.
• Look for the halo: every round disc in the oesophagus needs frontal and lateral films to exclude a battery.
• Food relieves duodenal ulcer pain and provokes gastric ulcer pain.
• Liquids sticking as well as solids means motility, and in a teenager that means achalasia.
• Treat the symptoms, not the mouth: a clean oropharynx never clears a symptomatic caustic ingestion.

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 gastroenterology case decks · pediatric reference values.