Neuroblastoma – Board-Style Questions

What this deck covers

Neuroblastoma 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. Specks on the scan
2. Bruised eyes at three
3. A drooping lid
4. Still jerking after surgery
5. Ending the stools
6. Weak legs, dumbbell mass
7. Nappies and a sample
8. A scan that stays dark
9. Why cut if the urine says it
10. Age is not enough
11. Wrapped around the arteries
12. Out, and then what
13. One hot spot in the femur
14. Tight belly, fast chest
15. The long road
16. Why it hurts
17. Turning up the volume
18. Two children, two futures

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Round deposits in both lungs on the chest imaging, Surgical excision of the mass, Its biology, including MYCN, decides her risk group, Intermediate risk, as for any metastatic infant, Stage L1, as there is no distant spread, Stage MS, because she is under eighteen months, The full high-risk protocol with stem cell rescue, Tumour cells breaking down rapidly in his bones, Grommets, to drain fluid from behind both eardrums.

Clinical pearls from this deck

• Specks of calcium in a mass outside the kidney point to neuroblastoma.
• Raccoon eyes in a child over 18 months with neuroblastoma mean high-risk disease.
• A new Horner syndrome in a toddler is neuroblastoma until imaging says otherwise.
• In opsoclonus-myoclonus, removing the tumour does not remove the antibodies.
• VIP diarrhoea stops when the tumour comes out.
• Dumbbell tumour on the cord: steroids, then chemotherapy, with the surgeon on standby.

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 case decks · pediatric reference values.