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Paediatrics > MCQ bank > Flashcards

MCQ bank Flashcards

1
Q

Kid with UTI, still febrile after 5/7 ABx, now has palpable painful flank mass. What investigation?

  1. Renal USS
  2. CT Abdomen
  3. DMSA
  4. DTPA
A

Renal USS

Could be a renal abscess

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2
Q

Kid presenting for 5 month immunisations with temperature of 37.6 and URTI for the past 2days. What do you do?
1. Give vaccines
2. Withhold vaccines until better

A

Give vaccines

Mild illness, temp not >38

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3
Q

Kid with rash on face - red cheeks, sweating and fever. Most likely diagnosis + cause?

A

Slapped cheek/erythema infectiosum/fifth disease

Caused by parvovirus

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4
Q

Otitis media spreading to meningitis. What is the most likely organism?

A

Strep pneumoniae

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5
Q

10 month old child recovering from viral gastroenteritis, on formula + solids. Gets diarrhoea 10days later. What do you do?

1.Lactose free diet
2.Soy formula
3 .Gluten free diet
4.Revert to clear fluids for 48 hours
5.Metronidazole

A

Lactose free

Post-viral lactase deficiency, damage to villi

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6
Q

4 year old child with fever (39), looking toxic, respiratory distress and high pitched inspiratorystridor, what do you do first? He had already had neb adrenaline

  1. IV hydrocortisone
  2. Inhaled corticosteroids
  3. Nebulised salbutamol
  4. Inhaled adrenaline
  5. Intubation
A

Intubation - he could have epiglottitis

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7
Q

Kiddy brought in w/ seizure. No obvious problems but you find retinal haemorrhages. Pale andlethargic. Parents say he cries a lot.

A

Non-accidental injury

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8
Q

Baby who can turn over on tummy but needs help sitting up on it’s own, passes hand tohand, doesn’t have a pincer grip, no words but babbles, responds to name, holds bottle to feed. How old are they?

A

6 months

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9
Q

Little Māori boy with haematuria, proteinuria and oedema. Told that he gets a “cold” every winterbut previously well. Broke his clavicle once. Normal JVP, BP 124/80ish (not raised - I would consider this a bit elevated for a child), C3 was low. Electron Microscopy = subepithelial humpsand fused podocyte foot processes
1.Post-infectious glomerulonephritis
2.Minimal change

A

PSGN - C3 low shows immune system activation

Min change causes nephrotic syndrome, PSGN causes nephritic.

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10
Q

Kid with a spot that looked utterly bizarre, mum said previous spots on back had disappeared leaving white zones behind.
1.Reassure
2.Excise with 2cm margins
3.Genetic testing
4.Topical antifungals
5.Biopsy

A

Reassure

Halo naevus

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11
Q

Periorbital hemangioma management

A

Observe, only excise if obstructing vision

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12
Q

Boy playing cricket with pain, sounded like testicular torsion, too tender to examine. Afebrile. Management?

  1. Exploratory surgery
  2. USS testes
  3. Antibiotics
A

Exploratory surgery

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13
Q

Child had GTCS on waking. Has twitches in arms and legs occasionally. ?had febrile seizure when younger. EEG showed generalised spike and wave when sleep deprived and with photostimulation. Diagnosis?

A

Juvenile myoclonic seizures

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14
Q

5yo Maori boy with viral sx and wheeze. No sx any other time.
1.Viral induced wheeze
2.Asthma
3.Bronchiolitis

A

VIW

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15
Q

Drooling kid
1.Emergency endotracheal intubation 2.Tracheostomy
3.Salbutamol
4.Adrenaline
5.IV hydrocortisone

A

Intubation, croup

would give nebulised adrenaline first btw

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16
Q

Baby with a coupley arm lesions. When can she go back to kindy?
1.When they’ve dried (were these chicken pox?)
2.Immediately - as they were already crusted over? (Shit quality image)
3. 2 days antibiotics first
4. Wait 7 days

A

When dry

17
Q

Baby with stridor that goes away when they sleep
1.Laryngomalacia
2.Vascular ring LOL
3.Subglottic stenosis
4.Croup

A

Laryngomalacia (soft larynx tissues which fall down over airway opening)

18
Q

Kid with petechiae and bruises, what investigation do you do first
1. FBC
2. Coagulation studies
3. Skeletal survey

A

FBC first to rule out meningococcal

19
Q

6 mo with wheeze, increased work of breathing etc, had sibling who was sick last week.On exam had diffuse crackles. Diagnosis?
1.Bronchiolitis
2.Bronchiectasis
3.Asthma
4.Viral induced wheeze

A

Bronchiolitis (diffuse crackles)

20
Q

NZ European kid with the sniffles , sore red throat, low grade fever, what organism is responsible
1.Rhinovirus
2.S. pyogenes
3.EBV
4.RSV

A

Rhinovirus

21
Q

Woman with gestational diabetes, what is most likely complication for baby?1.Hypoglycemia 2.Macrosomia
3.Respiratory distress

A

Hypoglycemia

22
Q

Child in severe resp distress, probably bronchiolitis, what investigation do you do?
1.Blood culture
2. Blood gas
3. FBC
4.Nasopharyngeal aspirate
5.Echo

A

Blood gas? FBC?

23
Q

Morning twitches in kid
1. Juvenile myoclonic epilepsy
2. Hypnic myoclonus

A

Juvenile myoclonic epilepsy

24
Q

Parents check on girl in the night during a ‘turn’ and she’s all confused and then doesn’tremember it in the morning

A

Night terrors

25
Q

Kid with sore tibia, not worse on walking. Still fine moving joints. Normal X-ray. Neutrophilia +fever
1.Osteomyelitis
2.Osgood-Schlatter
3.Acute leukaemia
4.Septic arthritis

A

Osteomyelitis

26
Q

Kid with sniffles, harsh cough, and fever (38°) moderate indrawing. Wheeze (actually don’t thinkthey mentioned wheeze) with ‘streaming’. Treatment?

A

Nebulised salbutamol

27
Q

Baby born at term with no complications, normal weight. Rapid breathing, diagnosis?

A

Transient tachypnea of newborn

28
Q

6 week old baby, well, still feeding and gaining weight, has a 3/6 pansystolic murmur at theleft lower sternal border that radiates to the axilla. What initial investigation would you do?

A

ECHO

29
Q

Girl with no period yet but cyclical pain and full feeling. Normal secondary sex characteristics.Fluid in uterus and abdomen. Diagnosis?

A

Imperforate hymen

30
Q

Strawberry tongue, fever, rash after sore throat

A

Scarlet fever

31
Q

Small, irregular spots on buccal/lingual mucosa with blue-white centres

A

Koplik spots of measles or rubella

Paediatrics (51 decks)

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