FARR Paediatrics

Question 1

Nontender abdominal mass associated with elevated VMA and HVA.

Answer 1

Neuroblastoma.

Question 2

The most common type of tracheoesophageal fistula (TEF). Diagnosis?

Answer 2

Esophageal atresia with distal TEF (85%). Unable to pass NG tube.

Question 3

Not contraindications to vaccination.

Answer 3

Mild illness and/or low-grade fever, current antibiotic therapy, and prematurity.

Question 4

Tests to rule out shaken baby syndrome

Answer 4

Ophthalmologic exam, CT, and MRI.

Question 5

A neonate has meconium ileus.

Answer 5

CF or Hirschsprung’s disease.

Question 6

Bilious emesis within hours after the first feeding.

Answer 6

Duodenal atresia.

Question 7

A two-month-old baby presents with nonbilious projectile emesis. What are the appropriate steps in management?

Answer 7

Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy.

Question 8

The most common 1° immunodeficiency.

Answer 8

Selective IgA deficiency.

Question 9

An infant has a high fever and onset of rash as fever breaks. What is he at risk for?

Answer 9

Febrile seizures (roseola infantum).

Question 10

Acute-phase treatment for Kawasaki disease.

Answer 10

High-dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms.

Question 11

Treatment for mild and severe unconjugated hyperbilirubinemia.

Answer 11

Phototherapy (mild) or exchange transfusion (severe).

Question 12

Sudden onset of mental status changes, emesis, and liver dysfunction after taking aspirin.

Answer 12

Reye’s syndrome.

Question 13

A child has loss of red light reflex. Diagnosis?

Answer 13

Suspect retinoblastoma.

Question 14

Vaccinations at a six-month well-child visit.

Answer 14

HBV, DTaP, Hib, IPV, PCV.

Question 15

Tanner stage 3 in a six-year-old girl.

Answer 15

Precocious puberty.

Question 16

Infection of small airways with epidemics in winter and spring.

Answer 16

RSV bronchiolitis.

Question 17

Cause of neonatal RDS.

Answer 17

Surfactant deficiency.

Question 18

A condition associated with red “currant-jelly” stools.

Answer 18

Intussusception.

Question 19

A congenital heart disease that causes 2° hypertension.

Answer 19

Coarctation of the aorta.

Question 20

First-line treatment for otitis media.

Answer 20

Amoxicillin × 10 days.

Question 21

The most common pathogen causing croup.

Answer 21

Parainfluenza virus type 1.

Question 22

A homeless child is small for his age and has peeling skin and a swollen belly.

Answer 22

Kwashiorkor (protein malnutrition).

Question 23

Defect in an X-linked syndrome with mental retardation, gout, self-mutilation, and choreoathetosis.

Answer 23

Lesch-Nyhan syndrome (purine salvage problem with HGPRTase deficiency).

Question 24

A newborn girl has a continuous “machinery murmur.”

Answer 24

Patent ductus arteriosus (PDA)