14/6/22

Question 1

Typical mx of EOS?

Answer 1

Generally peniciliin + aminoglycoside (gentamicin)

Question 2

Notifiable causes of gastroenteritis?

Answer 2

Campylobacter jejuni,

Listeria monocytogenes, Escherichia coli O157, Shigella and Salmonella

Question 3

Different types of JIA?

Answer 3

• Oligoarticular (most common) - MAX 4 JOINTS (usually assymetric + large joints)
• Polyarticular (5+ JOINTS) - anterior uveitis = sero-ve, rheumatoid nodules = sero+ve
• Systemic JIA / Still disease = systemic symptoms inc salmon pink rash and serositis

Question 4

In mx of nappy rash (form of irritant contact dermatitis) when should you give 1w of topical 1% hydrocortisone?

Answer 4

If rash is inflamed and causes discomfort in children >1m age

Question 5

Signs of tuberous sclerosis?

Answer 5

skin = ash leaf shaped patches, shagreen patches
(roughened patches of skin over the lumbar spine), angiofibromata in a
butterfly distribution over the bridge of the nose and cheeks, and
fibromas beneath the nail bed

Neuro = developmental delay, LD and infantile spasms

cardiac - rhabdomyomas

eyes = retinal hamartomas

renal = renal cc

Question 6

What is acute abdomen in children?

Answer 6

rapid onset of severe abdominal pain that may
indicate life-threatening intra-abdominal disease requiring urgent surgical
intervention

Eg perforated appendix

Question 7

When does miscarriage require further ix?

Answer 7

Recurrent miscarriage is defined as the loss of 3 or more consecutive pregnancies before 24 weeks’ gestation -

Question 8

What ix in recurrent miscarriage?

Answer 8

transvaginal ultrasound scan (uterine anomalies), coagulation screen
(thrombophilia), lupus anticoagulant and anti-cardiolipin antibodies (antiphospholipid syndrome), and cytogenetic analysis of the patient and partner
(balanced translocations)

Question 9

What are call-exner bodies and what is the diagnosis?

Answer 9

Call–Exner bodies are eosinophilic fluid-filled spaces that are found between granulosa cells and they are pathognomonic of granulosa cell tumours

Question 10

What gynae cancer causes hirsuitism, amenorrhoea and virilisation in young women?

Answer 10

Sertoli-leydig cell tumours

Question 11

What to do if 12w of SSRI hasnt worked in OCD?

Answer 11

Use a TCA (eg clomipramine) or alternative SSRI

Question 12

What class of drug is venaflaxine?

Answer 12

SNRI

Question 13

WISC-V Classification of IQ score?

Answer 13

130 and above = Extremely High

120 – 129 = Very High

110 – 119 = High Average

90 – 109 = Average

80-89 = Low Average

70 – 79 = Very Low

69 and below = Extremely Low

Question 14

LD classification by WISC IQ score?

Answer 14

• 50–70: Mild
• 35–49: Moderate
• 20–34: Severe
• Less than 20: Profound

Question 15

What IQ test should be used?

Answer 15

(WPPSI) designed for children aged 2–7 years

(WISC) which is designed for children aged 6–16 years

Question 16

When to give meds for insomnia?

Answer 16

If there is severe daytime impairment (as in this case), a short course of a hypnotic agent may be considered

Question 17

Social phobia questionnaire?

Answer 17

Social phobia inventory (SPIN)