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Case Complete
What this deck covers
Neonatal Seizures 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
- Which movement
- Pauses in breathing
- Seen only on the trace
- Reading the trace
- Why not tonic-clonic
- A family story
- The drug that works
- Stiff at every touch
- Stopping an episode
- Before the load
- Still drowsy
- Going home
- After the cause is fixed
- Ending the cooling
- What decides the outcome
- A good sign
- Epilepsy later
- After a low sugar
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: Sustained deviation of both eyes to one side, As apnoea of prematurity, No, sedation already covers them, A loose electrode on the scalp causing artefact, Newborns do not have seizures of the cerebral cortex, A familial neonatal epilepsy that later remits, A second full loading dose of phenobarbital, Neonatal tetanus, Flex his head and legs firmly towards his trunk, A second cannula ready for a maintenance infusion, A new seizure pattern not seen on the trace, Continue it for three months as a precaution, None, since the trigger has now been removed, Within the first hour after cooling has been started.
Clinical pearls from this deck
- Watch the eyes: a baby’s seizure may be nothing more than a fixed stare to one side.
- A pause with a racing heart is a seizure until the EEG says otherwise.
- A seizure on the trace is a seizure, whether or not you can see it.
- On the compressed trace, a seizure lifts the floor.
- The newborn brain seizes in pieces, not as a whole.
- A well baby with a father who fitted as a baby: think familial.
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.
