Polyposis Syndromes – Board-Style Questions

What this deck covers

polyposis syndromes 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. Hundreds in the colon
2. When to test the son
3. Timing the operation
4. A liver risk in infancy
5. A lump after surgery
6. Spots at the back of the eye
7. Lumps in the jaw
8. How many make a syndrome
9. Parents are clear
10. One lesion, then what
11. Frequent nosebleeds
12. A big head and polyps
13. Which operation
14. Dark spots and colic
15. Watching the small bowel
16. A large one found
17. Breasts in a young boy
18. Not just freckles

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: MUTYH variants, inherited from both parents, At around 12 to 14 years, before bowel screening, Emergency colectomy arranged within the next month, Renal ultrasound every three months, Desmoid fibromatosis, Choroidal melanomas arising from existing pigmented naevi, Neurofibromatosis type 1 with plexiform lesions, Two or more in the colon and rectum, Biallelic MUTYH, a recessive disorder, Yearly colonoscopy until adulthood, Bone marrow examination for leukaemia, Peutz-Jeghers syndrome, Ileorectal anastomosis, keeping the rectum under review, APC on chromosome 5q.

Clinical pearls from this deck

• Hundreds of adenomas in a teenager: APC, dominant FAP.
• FAP gene test in at-risk children: about 12 to 14 years.
• FAP with small adenomas: plan colectomy, do not rush.
• Young FAP carrier: liver ultrasound and alpha-fetoprotein.
• Firm mass after FAP surgery: think of a desmoid tumour.
• Bilateral flat retinal patches in a family: think FAP.

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 Gastroenterology Board Questions case decks · pediatric reference values.