Sinusitis in Children – Board-Style Questions

What this deck covers

sinusitis in children 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. Already there at two
2. Twelve days on
3. Better, then worse again
4. What the pictures add
5. The first prescription
6. Why a cold leads to this
7. Trouble behind the septum
8. Looking for a reason
9. Spreading inwards
10. The nose that never clears
11. Nothing but comfort
12. When it will not settle
13. A tooth to blame
14. The teenage sinus
15. Blocked on one side
16. When medicine has failed
17. How long to treat
18. What to watch for at home

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The frontal spaces, which are largest of all, Illness beyond ten days without improving, A second viral cold caught at nursery, They confirm bacterial infection and mean an operation is needed, Oral amoxicillin at a high dose for ten days, The virus directly invades the bone of the sinus, Redness of the eyelid skin itself, A trial of a stronger antibiotic with no tests, Pus between the skull and the covering of the brain, Resistant bacteria needing a broader antibiotic, Oral co-amoxiclav started today and continued for seven days, A fever lasting beyond a month, An untreated decayed upper molar tooth, Infants under one year, whose spaces are narrow.

Clinical pearls from this deck

• Ethmoid and maxillary sinuses are there from birth.
• Ten days with no improvement suggests bacteria.
• Worse again after improving means double sickening.
• Scan changes are common in well children too.
• Amoxicillin at a high dose is first-line treatment.
• A swollen opening turns a cold into sinusitis.

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 ENT and ophthalmology case decks · pediatric reference values.