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 15 / 20

Diabetes & Endocrine Emergencies

Recognise childhood diabetes and prevent delay in treating metabolic deterioration.

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 symptom combination suggests childhood diabetes? A. Isolated stable ear itchB. A single sneezeC. Normal appetite with stable growth aloneD. Thirst, polyuria and weight loss

Question 02. Should suspected symptomatic childhood diabetes wait for routine fasting testing? A. NoB. YesC. Only if weight loss occursD. Only during school term

Question 03. New bedwetting after previous dryness can be a clue to what? A. Diabetes among other causesB. Guaranteed behavioural misconductC. Normal puberty in every caseD. Exclusion of urinary disease

Question 04. Vomiting with deep breathing and diabetes symptoms suggests what? A. Guaranteed simple gastroenteritisB. Isolated constipationC. Possible diabetic ketoacidosisD. Normal exercise recovery

Question 05. What is needed in paediatric DKA? A. An adult regimen without adjustmentB. Oral water alone in every caseC. Specialist fluid, insulin and electrolyte managementD. No biochemical monitoring

Question 06. Does normalising glucose alone prove DKA has resolved? A. YesB. NoC. Only after one hourD. Only if thirst improves

Question 07. Neurological deterioration during DKA treatment requires what? A. Waiting until the next routine blood testB. Routine sleep adviceC. Immediate specialist actionD. Stopping all observations

Question 08. What should be avoided in hypoglycaemia with unsafe swallowing? A. Calling for helpB. Following the emergency planC. Oral food or drinkD. Assessing consciousness

Question 09. What should follow recovery from hypoglycaemia? A. Review the cause and recurrence preventionB. No further actionC. Permanent cessation of all careD. Ignoring recent insulin or food changes

Question 10. What should a school diabetes plan include? A. Only the diagnosis nameB. Monitoring, treatment and emergency instructionsC. No contact detailsD. A ban on all participation

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 NG18 — Diabetes in children and young people

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