Scorpion Envenomation – Board-Style Questions

What this deck covers

Scorpion envenomation 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. Screaming with a clean foot
2. Where the venom acts
3. Two phases in one night
4. Only the pain so far
5. Opening the vessels
6. Calling the pharmacy
7. Something for the burning
8. Bubbles at the lips
9. Why the chest fills
10. Not another bolus
11. It looks like a heart attack
12. The picture in a week
13. A sign the nurse noticed
14. Eyes all over the place
15. Something to calm him
16. The drug he asked for
17. Father and son together
18. Before they go home

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Blistering and dead skin spreading up the leg by morning, A flood of transmitter from the nerve endings themselves, A slow pulse and a low pressure lasting for several days without change, Admit every child for two nights whatever the findings are, Prazosin by mouth, repeated while the pressure stays high, Antivenom for every child who is stung, regardless of the findings, A tourniquet above the sting, released every ten minutes, A cold, pulseless foot on the side that was stung, The heart muscle is stunned and cannot handle the load, A further twenty millilitres a kilogram of salt solution, The normal appearance for a child of this age at rest, He must avoid all sport permanently from this point on, A sustained erection, which marks significant envenoming, Fixed dilated pupils with no response to light at all.

Clinical pearls from this deck

• Terrible pain and nothing to see: a scorpion sting.
• One venom, one event: a flood of transmitter.
• Wet and slow first, then fast and tight later.
• Grade it, then watch: the storm can start late.
• Block alpha and the squeezed circulation opens up.
• Antivenom answers the storm, never the pain alone.

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 emergency and critical care case decks · pediatric reference values.