Guillain-Barre Syndrome – Board-Style Questions

What this deck covers

Guillain-Barre syndrome 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. Bloody diarrhoea first
2. Why the nerves were attacked
3. The earliest nerve study
4. Pure motor after the chicken
5. Crying when lifted
6. No cooperation for the needles
7. Back from the forest
8. Drowsy with brisk reflexes
9. Still worsening at ten weeks
10. Deciding whether to treat
11. A bedside warning sign
12. Swings on the monitor
13. Will it come back
14. Burning in the legs at night
15. Better, then worse again
16. The next injections
17. What to expect
18. Strong again but worn out

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Escherichia coli O157, Microbial sugars mimicking nerve gangliosides, A decrement at 3 Hz stimulation, Hereditary sensory neuropathy, Pain and refusal to walk as early signs, A swollen cord with a long T2 signal lesion, Arrange nerve conduction studies, A posterior fossa tumour with hydrocephalus, Chronic inflammatory demyelinating polyneuropathy, Absent reflexes at the ankles, Tingling in both hands and feet, Hypoglycaemia from poor feeding, A second episode is rare, a few in a hundred, Morphine by continuous infusion.

Clinical pearls from this deck

• Chicken, diarrhoea, then weakness: Campylobacter.
• Guillain-Barre: molecular mimicry after infection.
• Early nerve studies in GBS: look at the F waves.
• Low motor amplitudes after Campylobacter: axonal form.
• Irritable toddler, absent reflexes: think GBS.
• Enhancing cauda equina roots on MRI: supports GBS.

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 Neurology case decks · pediatric reference values.