Intussusception – Board-Style Questions

What this deck covers

intussusception 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. After a cold
2. Drowsy and floppy
3. The longitudinal view
4. The other half of the sign
5. The textbook triad
6. The peak age
7. Older than expected
8. Small and transient
9. After the drops
10. Before the enema
11. A tense abdomen on the table
12. Partly back
13. Two tries, still stuck
14. The surgeon’s hands
15. Will it come back?
16. Going home
17. A long story
18. Dusky bowel

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A small bowel lymphoma at the ileocaecal valve, Telescoped bowel presenting with lethargy, The whirlpool sign, An irreducible lump in the groin, In fewer than a third of children, In the newborn weeks, A juvenile polyp of the sigmoid colon, Start broad-spectrum antibiotics, Within seven days of the first dose, A history that has lasted more than a day, Intubate and ventilate, then arrange a chest radiograph, A course of intravenous antibiotics and review, Laparoscopic or open surgery to reduce it, Pulling the proximal bowel out of the colon.

Clinical pearls from this deck

• Infant telescoping usually follows swollen Peyer patches.
• Pale, floppy infant: remember the telescoped bowel.
• Looks like a kidney in the long axis: pseudokidney sign.
• Sausage-shaped mass and an empty right iliac fossa.
• The full triad is uncommon: scan early, do not wait.
• Idiopathic telescoping peaks from five to nine months.

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 Board Questions case decks · pediatric reference values.