Late Effects of Cancer Treatment — Board-Style Questions

What this deck covers

Late Effects of Cancer Treatment 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. Trouble only in the classroom
2. Testing what seems fine
3. Same treatment, different ages
4. Short in one dimension only
5. Normal in every visible way
6. The question before consent
7. Beyond reading the results
8. How long the watching lasts
9. Sugar in the wrong place
10. Blood despite the precautions
11. Blasts in the wrong survivor
12. A hip that hurts to stand on
13. Eyes, skin and lungs together
14. The paper she keeps
15. A detail mentioned in passing
16. What the statistic means
17. Why they stop coming back
18. Starting from nothing at all

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Fluid in the middle ear, A deficiency of growth hormone, An obstruction of the ducts, It stops after ten normal years.

Clinical pearls from this deck

• Ask the teacher, not only the parents. Noise is where this loss shows itself first.
• The point of the test is the loss nobody can hear yet.
• Ask how old they were when they were treated. That one number predicts most of it.
• Measure sitting height. A short trunk with normal limbs names the cause on its own.
• Normal puberty says nothing about fertility. Two different cell types, two different sensitivities.
• Ask it before the first dose or not at all. That door closes and does not reopen.

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 Haematology and Oncology case decks · pediatric reference values.