Respiratory Distress in the Newborn — Board-Style Questions

What this deck covers

Respiratory Distress in the Newborn 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. What the film would show
2. Delivered before it started
3. Thick liquor and a big chest
4. What tomorrow will tell you
5. The injection that counts
6. A tube he may not need
7. An hour of going backwards
8. Treating without taking over
9. Six hours then ten minutes
10. The noise at the end
11. Working for that figure
12. Twenty hours and worse
13. Two weeks earlier
14. Taking the picture again
15. What comes after this
16. The one not ruled out
17. Before it gets difficult
18. What the words leave out

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Retained lung fluid, Infection acquired before birth, The feeding pattern, An air leak has developed, Signalling pain, Infection, Only the treatment.

Clinical pearls from this deck

• Even, small and grey across both fields. That is a surface tension problem.
• No labour means the fluid never got the signal to leave.
• Plugs trap gas. That is why the chest looks too big, not too small.
• The first label is a hypothesis. The next day is the test.
• The lung is treated before birth, in the mother, not after it in the baby.
• If he is breathing, help him breathe. Do not take it over.

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 neonatology case decks · pediatric reference values.