Infectious Disease – Set 3

What this deck covers

Infectious Disease – Set 3 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. Fever, cough, then a spreading rash
2. How CMV travels to a fetus
3. Fever settles, then a rash
4. Lip blister and feeding advice
5. Itchy crops after a mild prodrome
6. Outlook for a well newborn
7. Sore mouth, fever and drooling
8. Proving a suspected case
9. Fine pink rash with tender nodes
10. Agent behind a common exanthem
11. Febrile child with bulky neck nodes
12. Look of the newest lesion
13. Oral ulcers with palm vesicles
14. Going back to nursery
15. Starting treatment on day 2
16. Diarrhoea with a low albumin
17. Expected course of the exanthem
18. How a toddler caught the virus
19. Sore, weepy spots on day 6
20. Likely pathogen in an outbreak
21. Likeliest problem to follow
22. Eczema flare with erosions
23. Fever relief advice at home
24. Reading a Monospot in a toddler
25. Who may nurse this infant
26. Red papules on the soft palate
27. Why a mild exanthem is tested
28. UK prophylaxis for this contact
29. Fingertip changes weeks later
30. Lesions reach the eyelids
31. Cheek rash going round her class
32. Timing of the public health call
33. White specks inside both cheeks
34. Sore hands after a mild rash
35. Home care and warning signs
36. Leftover tablets from a relative
37. Is immunisation safe today?
38. Day 7, breathing worse
39. Back to the childminder
40. Teenage athlete with a big spleen
41. Classroom contact during chemotherapy
42. Painful thumb in a thumb-sucker
43. Pregnant parent asks about risk
44. Grading severity in a clinic
45. Thigh pain on day 5 of the rash
46. Warning signs to watch for
47. Micronutrient dose by age
48. Parents ask about ongoing therapy
49. Who else on the bay needs cover
50. Blisters 16 days after contact

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Kawasaki disease, No, not until her cold sore has completely healed, Herpetic gingivostomatitis, Human herpesvirus 6, Hand, foot and mouth disease, Protein-losing enteropathy from the infection, Varicella pneumonia, A stronger topical steroid for the flare, Any nurse who wears a surgical mask and gloves, Intramuscular normal human immunoglobulin today, Her daily folic acid will protect her against it, They evolve into juvenile idiopathic arthritis, Yes, as a half dose during his treatment, Oral prednisolone for 5 days to shrink the tonsils.

Clinical pearls from this deck

• Three Cs, then Koplik spots, then a rash that starts behind the ears and moves down: measles.
• For a pregnant mother, the main source of CMV is the toddler at nursery.
• In roseola the rash arrives as the fever leaves.
• Herpes and breastfeeding: the breast decides, not the lip.
• Every stage at once, densest centrally, and itchy: chickenpox.
• A normal newborn examination does not exclude later hearing loss from congenital CMV.

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 infectious disease case decks · pediatric reference values.