Neurology – Set 1

What this deck covers

Neurology – Set 1 in 50 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 50 cases, in order

1. Stiff and jerking in bed at 6
2. First fit with a runny nose
3. Convulsing toddler with no venous line
4. Baby with jerks in runs after waking
5. Background that matters after a fit
6. Girl who switches off in class
7. Wave trace or scan after a fever fit?
8. Boy drooling and mute at night
9. Trace expected in clustered spasms
10. Still shaking after the first dose
11. Plan after a first fit at breakfast
12. Bringing on a blank spell in clinic
13. Under-immunised infant after the fit
14. A second unprovoked event at 10
15. Family advice for night-time fits
16. Two doses given and still convulsing
17. A tablet with every fever?
18. Weak right side after the fit
19. A structural root of infant spasms
20. Choice between two benzodiazepines
21. Second fit five hours later
22. The trace during a blank spell
23. Normal awake trace after night events
24. ILAE terms when no cause is found
25. Jerks over but still unresponsive
26. Long-term prevention of fever fits
27. First drug when tubers cause spasms
28. What a normal awake trace means
29. Convulsing on the renal ward
30. Fever medicines and further fits
31. First-choice drug for staring spells
32. Provoking abnormalities on a trace
33. Lost words despite normal hearing
34. Commonest reason for a long convulsion
35. Chance of more fits with fever
36. Judging response in treated spasms
37. Scan choice for focal fits
38. Safety during a phenytoin load
39. The trace behind lost language
40. After a 40-minute fit with fever
41. Later epilepsy after fever fits
42. Long-term outlook for staring spells
43. When rescue treatment starts
44. Newborn fits and which bodes worst
45. Still convulsing at 45 minutes
46. What infant spasms may turn into
47. Pale toddler after a fit
48. Home safety with new epilepsy
49. Going home after renal recovery
50. Rescuing language lost at six

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Wetting the bed during the event, Benign myoclonus of early infancy, Neither test is needed for this event, IO lorazepam 0.5 mg/kg, Consider a lumbar puncture, A third dose of IO lorazepam, Benign enlargement of CSF spaces, Generalised 4-6 Hz polyspike-and-wave, Urgent CT head scan, Yes, a normal EEG rules it out, Sodium valproate, A new genetic epilepsy, MRI of the brain, No further test is needed.

Clinical pearls from this deck

• Ask the eyewitness what happened AFTER the event: long confusion means seizure.
• Simple means generalised, short, single and fully recovered.
• No line at 5 minutes: buccal midazolam, not a hunt for a vein.
• Clusters of jerks on waking plus lost smiles: think spasms, not colic.
• A child with developmental delay who has a seizure is a child at higher risk of epilepsy.
• Many a day, seconds long, straight back to normal: absence.

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 neurology case decks · pediatric reference values.