Oncology – Exam Review Set 3

What this deck covers

Oncology – Exam Review Set 3 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. Bleeding before treatment starts
2. Worse on the fourth day
3. A big spleen and a high count
4. A toddler ill for two months
5. Four hundred thousand, and confused
6. Shocked, five days after the cells
7. Four kilograms and a tender liver
8. Mute, halfway through the drip
9. Reacting to a drug she needs
10. What to chart beside the conditioning
11. Virilised, and Cushingoid too
12. A cyst nobody was worried about
13. Three findings, one gene
14. A kidney and a brain lesion
15. Three children, three cancers
16. Clear film, positive test
17. A count, and a needle due
18. Dosed by size, with one kidney
19. Due today, and the marrow is falling
20. Four hours from the centre
21. One testis bigger than the other
22. A green swelling by the eye
23. Purple nodules since day four
24. Diarrhoea that fasting will not stop
25. Breasts, bleeding, and no hair
26. What to image first
27. Expanded pons, no margin
28. He spoke, then stopped
29. Planning for the years ahead
30. Told it could not be cured
31. Found on a routine scan
32. What the pharmacy is waiting for
33. What to prescribe alongside
34. Marker falling, mass growing
35. In remission, and pale again
36. What the record does not say
37. A classmate with a rash
38. Yeast in both bottles
39. Five days in, and afebrile
40. Something to do at the chair
41. Fifty-six chromosomes
42. Four months old, and a huge count
43. Blasts gone by day eight
44. Twelve cells, and what they are
45. Lower than it has been
46. Why treat all of him
47. A machine, and something frozen
48. His own cells, given back
49. Low calcium, and what not to do
50. Two cycles in, and quiet

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Immune thrombocytopenia after a viral illness, Disseminated tuberculosis, Acute graft-versus-host disease of the liver, A proton pump inhibitor for gastric protection, Denys-Drash syndrome, A false positive, since the film is clear, Give the course at a reduced dose today, Orbital cellulitis with subperiosteal collection, Premature thelarche, A post-operative stroke in the brainstem territory, Simple renal cysts of no significance, An abscess that has developed within the tumour bed, A dose of measles vaccine today, An antiseptic mouthwash used four times daily.

Clinical pearls from this deck

• Granulated blasts plus bleeding is the one leukaemia that kills in the first week. Treat the clotting before anything invasive.
• A rising white count on a retinoid is the diagnosis, not reassurance. Give the steroid before you are sure.
• Maturing granulocytes and a huge spleen is not acute leukaemia. Find the translocation and give the tablet.
• Monocytes, a huge spleen and fetal haemoglobin in a toddler. Look at the skin, and think transplant early.
• At counts like this the transfusion is the danger. Bring the count down before you raise the haematocrit.
• Sepsis that will not culture, days after cell therapy. Cover the infection, but treat the cytokines.

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 oncology case decks · pediatric reference values.