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**Bank > MSRA - paeds > Flashcards

MSRA - paeds Flashcards

1
Q

Commonest cause of cyanotic congenital heart disease

A

Tetralogy of Fallot

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2
Q

Clinical features of TOF

A

cyanosis
right-to-left shunt
ejection systolic murmuer
boot shaped CXR

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3
Q

Management of TOF

A

surgical repir

beta blockers in cyanotic epsiodes

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4
Q

Rubella presentation

A

Rash starts on face and spreads to whole body

Suboccipital/postauricular LN

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5
Q

Measles presentation

A

Rash starts behind ears and spreads to whole body

Prodrome:irritable, conjunctivitis, fever

Koplik spots

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6
Q

Management of reflux in children

A

Alginates

PPI or H2RA only if faltering growth/distress/feeding difficulty

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7
Q

Perthes disease - presenting age

A

4-8 years

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8
Q

Perthes features

A

Hip pain + limp
Stiffness/reduced ROM

Widened joint space and femoral head flattening on xray

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9
Q

Management of Perthes

A

Casts/braces
Surgery if >6 years old or severe

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10
Q

Head-banging - normal at what age

A

Normal for 2 year old
>3 years = sign of autism

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11
Q

Immunisations - at birth

A

BCG if risk factors

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12
Q

Immunisations - 2 months

A
  • 6in1
  • Oral rotavirus
  • PCV
  • Men B
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13
Q

6in1 vaccine

A

-Diptheria
-Tetanus
-Whooping cough
-Polio
-Hib
-Hep B

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14
Q

Immunisations - 3 months

A
  • 6in1
  • Oral rotavirus
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15
Q

Immunisations - 4 months

A
  • 6in1
  • PCV
  • Men B
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16
Q

Immunisations - 12-13 months

A
  • Hib/Men C
  • MMR
  • PCV
  • Men B
17
Q

Immunisations - 2-8 years

A

Flu vaccine annualy

18
Q

Immunisations - 3-4 years

A
  • 4in1 pre-school booster
  • MMR
19
Q

4in1 pre-school booster

A
  • Diptheria
  • Tetanus
  • Whooping cough
  • Polio
20
Q

Immunisations - 12-13 years

A

HPV

21
Q

Immunisations - 13-18 years

A
  • 3in1 teenage booster
  • Men ACWY
22
Q

3in1 teenage booster

A
  • Diptheria
  • Tetanus
  • Polio
23
Q

Automatic hospital admission for febrile child

A

Aged <3 months with fever >=38

Aged 3-6 months with fever >=39

Fever for >=5 days

24
Q

Circulation/hydration - red

A

Reduced skin turgor

25
Q

Circulation/hydration - Amber

A

-Tachycardia
>160 aged <12months
>150 aged 12-24 months
>140 aged 2-5 years

-CRT >=3s
-Dry mucous membranes
-Poor feeding
-Reduced urine output

26
Q

Patellar tendonitis

A

Tender below patella
Chronic anterior knee pain, worse after running

27
Q

Osteochondritis dissecans

A

Intermittent swelling + locking
Pain after exercise

28
Q

Patella subluxation

A

Medial knee pain
Knee gives way

29
Q

Osgood-Schlatter (tibial apophysitis)

A

Pain, tenderness + swelling over tibial tubercle
Sporty teenages

30
Q

Chondromalacia patellae

A

Anterior knee pain on stairs and standing
Physiotherapy

**Bank (74 decks)

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