Transition, the Duct and the Cyanosed Newborn — Board-Style Questions

What this deck covers

Transition, the Duct and the Cyanosed 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. Where the colour counts
2. Two babies, one number
3. Only one limb was read
4. What equal numbers hide
5. What the rise did not prove
6. Comfortable but blue
7. What happens when he cries
8. What the picture adds
9. The cuff and the fingers
10. Thick blood, dusky skin
11. Well until this morning
12. The number at birth
13. He looks perfectly well
14. A jumping waveform
15. Tonight or the morning
16. Which arm was it
17. The third possibility
18. Pinker by the mask

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: At the soles of the feet, Limb circumference, Polycythaemia, A circulation that depended on the duct, The timing.

Clinical pearls from this deck

• Judge cyanosis in the mouth. Hands and feet lie in the first days.
• A pink anaemic baby can be the sicker of the two.
• Right hand and a foot, together. The left arm is the one to distrust.
• A gap tells you something. No gap tells you nothing at all.
• The test moves the odds. It does not close the question.
• Blue and comfortable is a different problem from blue and struggling.

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.