Neurology – Set 2

What this deck covers

Neurology – Set 2 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. Teenager with jerks at breakfast
2. How the absence medicine works
3. Toddler turning blue after tantrums
4. Seizures, white spots, facial papules
5. Brown macules and armpit freckles
6. Parents ask about an SCN1A syndrome
7. Facial birthmark and a first seizure
8. Which drug blocks sodium channels?
9. Teenager with long filmed episodes
10. Rescue medicine and its receptor
11. Rash and fever after an added medicine
12. Hormone level hours after a collapse
13. Morning jerks, the expected EEG
14. Newborn jerks that stop on waking
15. Which skin sign counts as major?
16. What cuts the number of blue spells?
17. Choosing the scan for a facial stain
18. First medicine for a girl of sixteen
19. Slit-lamp findings on his iris
20. Morning headache and vomiting at 11
21. Why a second drug starts at half dose
22. Should the requested tests go ahead?
23. Head tilt and one weak eye at five
24. Outlook for a toddler with spells
25. Puffy face, fever, a new medicine
26. Which finding is only a lesser sign?
27. Eyelid stain and the risk to his eyes
28. Staring spells, now convulsions too
29. What a negative gene test changes
30. Parents ask about the next baby
31. Grey and limp after a trapped finger
32. How the other NF condition differs
33. One treatment for brain and kidney
34. Chest infection on an antiseizure drug
35. Seizure-free teenager wants to stop
36. Confirming what the episodes are
37. Falling sight during observation
38. How common is each feature?
39. Where the add-on medicine binds
40. Large ventricular mass, falling GCS
41. Screaming episodes after bedtime
42. Short sharp curve on the X-ray
43. When is this medicine forbidden?
44. Which add-on would do harm?
45. What drives a pale spell?
46. Daily fits despite two medicines
47. What the brain MRI is looking for
48. Epigastric pain on his medicines
49. Advice before any tablets are chosen
50. Planning lifelong follow-up

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Frontal lobe epilepsy with nocturnal seizures, Tuberous sclerosis complex, PHACE syndrome, It makes the chloride channel open more often, Generalised 4-6 Hz polyspike-and-wave discharges, Buccal midazolam given at every spell, Pigmented hamartomas that do not affect vision, Complete both tests before giving any advice, Halve the lamotrigine dose and review in a week, Phenytoin, Echocardiogram to look for structural disease, Meropenem, Focal radiotherapy to the optic pathway, Urgent neurosurgery to remove the tumour.

Clinical pearls from this deck

• Always ask a teenager with a first convulsion about jerks at breakfast.
• T for thalamus and T-type: ethosuximide stops the 3 Hz pacemaker.
• The trigger and the cry come before the collapse: that order is the diagnosis.
• Acne in a young child that no cream touches, plus seizures, is angiofibroma until proved otherwise.
• Six brown macules plus armpit freckles: think of this diagnosis and check the eyes.
• An infant with repeated long febrile seizures, often one-sided, needs SCN1A testing.

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.