Paediatrics Flashcards

1
Q

what method of hearing test is used in the school entry health screening program?

A

pure tone audiometry

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2
Q

what method of hearing test is used in the newborn screening program?

A

otoacoustic emission test

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3
Q

what is the most appropriate measure of obesity in children?

A

BMI adjusted to age and gender

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4
Q

what is the management for whooping cough?

A

oral macrolide (clarithromycin, erythromycin, azithro) if within 21 days of onset of cough

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5
Q

what are the features of congenital rubella?

A

sensorineural deafness
cong cataracts
cong ht disease
glaucoma

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6
Q

what are the features of congenital CMV?

A

low birth weight
purpuric skin lesions
sensorineural deafness
microcephaly

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7
Q

what are the features of an irritant dermatitis nappy rash?

A

due to irritant effect of urinary ammonia and faeces
creases characteristically spared
most common cause

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8
Q

what are the features of a candida dermatitis nappy rash?

A

erythematous rash
involves flexures
characteristic satellite lesions

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9
Q

what is the initial management for transposition of the great arteries?

A

maintenance of ductus arteriosus with prostaglandins
PgE1

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10
Q

what is the effect of NSAIDs/indometacin on PDAs?

A

encourages closure

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11
Q

features of tetralogy of fallot?

A

PROVE
Pulmonary stenosis
Right ventricular hypertrophy
Overriding aorta
VSD
(ejection systolic murmur)

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12
Q

mgt meningitis less than 3 months old?

A

cefotaxime and amoxicillin

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13
Q

minimum time between MMR vaccine doses?

A

<10 years old - 3 months
>10 - 1 month

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14
Q

features of slipped capital femoral epiphysis?

A

10-15y
more common in obese boys
hip/groin/thigh/knee pain
loss of internal rotation of leg in flexion

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15
Q

mgt of slipped capital femoral epiphysis?

A

internal fixation with single cannulated screw

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16
Q

ix for slipped capital femoral epiphysis?

A

AP and lateral X rays

17
Q

puberty order rhyme mnemonics?

A

boobs, pubes, grow, flow
grapes, drapes, grow, blow

18
Q

investigation of choice for pyloric stenosis?

A

USS abdo

19
Q

mgt of pyloric stenosis?

A

ramstedt pyloromyotomy

20
Q

coughing followed by periods of turning blue?

A

pertussis
(bordetella pertussis)

21
Q

other names for erythema infectiosum?

A

fifth disease
slapped-cheek syndrome
caused by parvovirus b19

22
Q

features of erythema infectiosum?

A

lethargy, fever, headache
‘slapped-cheek’ rash spreading to proximal arms and extensor surfaces

22
Q

virus causing hand foot and mouth?

A

coxsackie a16
(hand foot mouth cox)

22
Q

cyanotic congenital heart diseases?

A

TOF
transposition
tricuspid atresia

23
Q

blood gas in pyloric stenosis?

A

hypochloraemic hypokalaemic metabolic alkalosis

24
Q

features of retinoblastoma?

A

absence of red reflex
strabismus
visual problems

25
Q

what virus causes roseola infantum?

A

HHV 6 - rosixola

26
Q

which virus causes kaposi’s sarcoma?

A

HHV8

27
Q

investigation for intussusception?

A

abdo USS

28
Q

which organism causes croup?

A

parainfluenza virus

29
Q

management of spasticity in CP?

A

oral diazepam
oral and intrathecal baclofen
botulinium toxin type A
orthopaedic surgery
selective dorsal rhizotomy

30
Q

features of turners syndrome?

A

45X0
short stature
wide spaced nipples
webbed neck
cardiac - bicuspid aortic valve/ coarctation
»> ejection systolic murmur
primary amenorrhea

31
Q

most common heart lesion associated with Duchenne muscular dystrophy?

A

dilated cardiomyopathy

32
Q

mgt meningitis in less than 3 month old?

A

IV amoxicillin and cefotaxime

33
Q

mgt meningitis in >3months?

A

IV cefotaxime
+ steroids if: purulent CSF, CSF WCC>1000, raised CSF WCC with protein over 1g/l, bacteria on gram stain

34
Q

edward’s syndrome?

A

trisomy 18
micrognathia
low set ears
rocker bottom feet
overlapping of fingers

35
Q
A
35
Q

patau syndrome?

A

microcephaly

35
Q
A