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 06 / 20

Fever, Sepsis & Serious Infection

Assess the febrile child using age, physiology and the evolving clinical picture.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. What is most useful in fever risk assessment? A. Temperature aloneB. Only the time since the last mealC. Only a normal previous visitD. Age and overall clinical condition

Question 02. Why is fever in a young infant treated cautiously? A. Infants cannot develop infectionB. All fever is harmlessC. Serious illness can present subtlyD. Examination is never helpful

Question 03. Does improvement after an antipyretic exclude serious infection? A. YesB. Only after two dosesC. NoD. Only if temperature normalises

Question 04. What should persistent fever with new focal pain trigger? A. Automatic repetition of the original diagnosisB. No examinationC. Reassessment for a source or complicationD. Only a different thermometer

Question 05. What is a core principle of suspected sepsis care? A. Waiting for every culture before actionB. Timely risk-based treatment and repeated reassessmentC. One observation followed by dischargeD. Treating fever alone

Question 06. Should cultures delay urgently indicated antimicrobial treatment? A. Yes in every childB. Only if the child is shockedC. Only at nightD. No

Question 07. What is the main reason to use an antipyretic in a febrile child? A. Guarantee prevention of every seizureB. Prove a viral causeC. Relieve distress when appropriateD. Eliminate the need for assessment

Question 08. An unwell child with a non-blanching rash needs what? A. Urgent assessmentB. Routine cosmetic adviceC. Review only if the rash itchesD. Reassurance without observations

Question 09. Does absence of rash rule out meningococcal disease? A. YesB. Only after an hourC. Only if fever is highD. No

Question 10. What belongs in fever discharge advice? A. A guarantee that tests exclude future illnessB. No contact detailsC. Warning signs and review if persistent or worseningD. Advice to ignore reduced urine

0 / 10 answeredReady for assessment →

References & Further Reading

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

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