Henoch-Schonlein Purpura – Board-Style Questions

What this deck covers

Henoch-Schonlein purpura 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. What must be there
2. Puffy and purple at one
3. What the biopsy shows
4. Black in the middle
5. She will not walk
6. A test that decides nothing
7. Two weeks before
8. Pain first, spots later
9. Which picture first
10. Puffy, but the urine is clear
11. Is a sample justified
12. A fit on day five
13. How often, and how old
14. Mottled and spreading fast
15. How long the spots last
16. Nine days into the course
17. Seven days of photographs
18. The letter from school

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Colicky pain in the abdomen with vomiting and loose stool, Acute haemorrhagic oedema of infancy, which settles by itself, Immunoglobulin G lying along the basement membrane of the skin, Widespread clotting with consumption of the clotting factors, Swelling around the joints that leaves no lasting harm, A normal level excludes it entirely, An insect bite that he acquired in the garden last month, A surgical cause has been missed at both of the attendances, Ultrasound of the abdomen, to look closely at the bowel wall, Poor intake of protein during the days he has been unwell, Only once the kidney has been shown to be involved as well, A febrile convulsion of the ordinary childhood kind, It is the commonest in the young, at four to six years, Immune destruction of the platelets after a viral illness.

Clinical pearls from this deck

• Palpable purpura on the legs is the entry ticket.
• Well baby, big purple rings: the infant form.
• Immunoglobulin A in the vessel wall confirms it.
• Blisters and necrosis: a rare severe skin form.
• These joints swell on the outside and never erode.
• A normal immunoglobulin A never excludes this.

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 rheumatology and immunology case decks · pediatric reference values.