Hypoxic Ischaemic Encephalopathy and Therapeutic Hypothermia — Board-Style Questions

What this deck covers

Hypoxic Ischaemic Encephalopathy and Therapeutic Hypothermia 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. Before the paperwork is done
2. Convincing, and still outside
3. A clock that was never reset
4. Irritable, otherwise unremarkable
5. Worse than he was at first
6. The syringe that clotted
7. Numbers, and a vigorous baby
8. Heater off, and forgotten
9. Reassuring entries on a chart
10. Waiting for the machine
11. Fighting from the inside
12. Chasing the urine output
13. Releasing the cot early
14. Asking for it on day one
15. Asked for a verdict too soon
16. Settled twenty minutes later
17. Better, and only a day in
18. Late for a different reason

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The birth weight, A mild picture, A repeat gas, On the first day.

Clinical pearls from this deck

• Make the call on the suspicion. The window is shorter than the paperwork.
• Gestation rules a baby out no matter how abnormal he looks.
• The clock starts at birth. Nothing restarts it.
• Mild does not qualify. It obliges you to look again.
• One examination is a snapshot. The grade is a trajectory.
• A lost gas does not lose the baby. The clinical route exists.

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 neonatology case decks · pediatric reference values.