Oncology Prometric Style Questions – 50 Cases with Answers

What this deck covers

Oncology Prometric Style Questions – 50 Cases with Answers 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 board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Pale, bruised and infected
2. Naming the subtype
3. A count that fell slowly
4. What trisomy 21 raises the risk of
5. How this leukaemia is treated
6. The disease has come back
7. Swollen face and a wide chest shadow
8. A fever on chemotherapy
9. Pain at the back passage
10. Shocked on the ward
11. Right-sided pain on treatment
12. Two days after the first dose
13. A brother with spots
14. Fever that would not settle
15. A lump that grew slowly
16. The cell with two nuclei
17. Nodes above and below
18. A swelling that doubled
19. Well, but what comes later
20. Cells where they should not be
21. Dark rings and a hard belly
22. One scan that shows it all
23. Two babies, two outlooks
24. Dancing eyes and jerks
25. Legs giving way
26. A lump found in the bath
27. One leg bigger than the other
28. Planning the kidney operation
29. A big tongue at birth
30. Sick every morning
31. The commonest solid one
32. Short, and bumping into things
33. Brown patches and poor sight
34. A cyst with a lump in it
35. Which one needs a scan
36. Knee pain at night
37. Fever with a sore thigh
38. An eye pushed forward
39. Who should take the sample
40. A lump at the tail bone
41. A mass under the ribs
42. A firm lump in the scrotum
43. Reading a raised marker
44. A rash that would not clear
45. A single hole in the skull
46. Thirsty two years later
47. Breathless eight years on
48. What to raise before day one
49. Jabs during treatment
50. Breathless with a clear chest

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Immune thrombocytopenia, Neuroblastoma, Urgent discussion with the oncology team, A platelet transfusion, Give the live varicella vaccine today, Auer rod containing myeloblast, Chronic kidney disease, Plain abdominal radiography, Wait for the planned chemotherapy to start next week, Radiotherapy alone to the flank, Wilms tumour, It always requires craniospinal irradiation, Chronic osteomyelitis, Rhabdomyosarcoma.

Clinical pearls from this deck

• Pancytopenia plus big organs is infiltration; pancytopenia with nothing to feel is marrow failure. That single distinction sorts most of these stems.
• Age one to ten and a white count under fifty is the good-risk combination, and it is quoted more often than any single genetic marker.
• When a stem gives you a blast percentage, the question is always about a threshold. Twenty is the one that matters.
• The transient newborn picture looks exactly like leukaemia and resolves without treatment. Knowing it exists prevents a family being told the wrong thing in the first week.
• The long dull maintenance phase is what actually cures this disease, and it is the phase families are most tempted to abandon.
• Transplant is the answer to relapse, not to diagnosis. Options lists routinely offer it at both moments and only one of them is right.

This deck is open to everyone with no sign-in. Work through it once for recognition, then again a week later to test yourself.

More from this system: all Oncology case decks · pediatric reference values.