Kawasaki Disease – 18 Board-Style Cases with Answers

Kawasaki Disease — 18 Teaching Cases
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What this deck covers

Kawasaki Disease 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 board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

  1. Five days, and five signs
  2. Too few signs to wait for
  3. What does not settle by itself
  4. One infusion, and a tablet
  5. Week two in the numbers
  6. A colleague says too late
  7. Same tablet, smaller dose
  8. What the first scan does not say
  9. Better for half a day
  10. The swab that misleads
  11. Two places nobody looks
  12. Not the ones due today
  13. Which of the four
  14. Slow flow in a big vessel
  15. Crying more than makes sense
  16. Arriving as something else
  17. It frightened his mother
  18. Three scans, all clear

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Scarlet fever, in, Damage to the heart valves, A course of corticosteroids alone, Replace it with a different antiplatelet agent, Once, at one year, Toxic shock, in, Both should be given now at double dose, A second antiplatelet drug alone, Partially treated bacterial meningitis, Corticosteroids alone, A recurrence of the illness.

Clinical pearls from this deck

  • Red eyes with no pus, in a child febrile past five days. That is the pairing to remember.
  • Under a year, fewest signs and the highest risk. Treat the suspicion, not the checklist.
  • The illness gets better by itself. The arteries do not. That is why you hurry.
  • The aspirin makes them comfortable. The immunoglobulin saves the arteries.
  • A normal platelet count in week one proves nothing. Look again in week two.
  • Ten days is where benefit is greatest, not where it ends. Still hot means still treat.

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 Cardiology Board Questions case decks · pediatric reference values.

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