YEAR 05 • ADVANCED CLINICAL

Paediatrics

20 learning units • 100 chapter sections • 200 explained questions. Assess children from birth through adolescence, recognise urgent illness and plan safe treatment, prevention and family-centred follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 09 / 20

Diarrhoea, Vomiting & Dehydration

Assess fluid losses, recognise alternative diagnoses and plan safe rehydration.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which vomiting pattern needs urgent consideration of obstruction? A. One small uncomplicated possetB. Green bilious vomitingC. A resolved isolated gagD. Brief nausea without illness

Question 02. What helps assess dehydration? A. Combined history and examination findingsB. One sign in every caseC. Only stool colourD. Only the time since breakfast

Question 03. Shock during diarrhoeal illness requires what? A. Oral advice only without assessmentB. Routine review next weekC. Urgent treatment with repeated reassessmentD. Waiting for stool culture

Question 04. Which fluid is designed for oral rehydration? A. Fizzy drinkB. Appropriate oral rehydration solutionC. Undiluted juiceD. Plain water as the sole replacement for all losses

Question 05. How can ORS be offered when tolerated? A. Only one very large forced feedB. Never with breastfeedingC. Small frequent amountsD. Only after several days of fasting

Question 06. Should breastfeeding usually continue during gastroenteritis care? A. YesB. No in every caseC. Only after diarrhoea fully stopsD. Only once daily

Question 07. Are antibiotics routine for every uncomplicated gastroenteritis episode? A. NoB. YesC. Only because stools are looseD. Only because vomiting occurred

Question 08. Which finding can change the investigation plan? A. Bloody diarrhoea or prolonged illnessB. A brief resolved appetite reduction aloneC. An unchanged birthmarkD. Normal activity alone

Question 09. Why reassess persistent localised abdominal pain? A. Gastroenteritis excludes surgeryB. Pain always resolves without reviewC. Stool testing replaces examinationD. It may indicate an alternative or surgical diagnosis

Question 10. What is an important return warning after discharge for diarrhoea? A. Increasing lethargy or markedly reduced urineB. A return of usual playC. Improving intakeD. Normalising stools

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE CG84 — Childhood gastroenteritis

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.