resp

Question 1

common causitive organisms common cold in kids?

Answer 1

rhinovirus and RSV

Question 2

complications of cold?

Answer 2

secondary bacterial infection or bronchitis

Question 3

other name for croup?

Answer 3

tracheolaryngobrobchitis

Question 4

what is croup most commonly caused by?

Answer 4

parainfluenza virus (RSV) which causes upper airway obstruction via subglottic inflammation, oedema and exudate

Question 5

typical age range?

Answer 5

6 months to 6 years

Question 6

intermittent, harsh loud stridor especially when ?

Answer 6

upset

Question 7

in croup, on examination are they febrile/

Answer 7

no, pyrexial and able to swallow

Question 8

indicators of severe disease in croup/

Answer 8

agitations and restlesness
sternal retractions 
constant stridor 
cyanosis 
lethargy

Question 9

diagnosis of croup?

Answer 9

AP neck x ray they have a narrow trachea

Question 10

what is sign on x ray called in croup?

Answer 10

steeple sign

Question 11

what should all infants with croup get?

Answer 11

dexametasone stat

Question 12

moderate croup?

Answer 12

nebulized adrenaline

Question 13

severe ?

Answer 13

oxygen, nebulised adrenaline and intubation

Question 14

complications of croup?

Answer 14

bacterial tracheatis

croup with sudden deterioration

Question 15

what position do children with epiglottis have?

Answer 15

tripod position

Question 16

what would a lateral neck x ray show

Answer 16

thumb print sign

Question 17

who do you call in epiglottis?

Answer 17

ENT/anaesthetics

Question 18

where do you hold the oxygen mask in epiglottis ?

Answer 18

close to the child

Question 19

does croup have a prodrome

Answer 19

yes

Question 20

hyperinflation with patchy changes on x ray?

Answer 20

bronchiolitis

Question 21

management of bronchiolitis?

Answer 21

supportive care

Question 22

if baby less than one develops pneumonia, what is the treatment ?

Answer 22

co amoxiclav

Question 23

if baby over 1 gets pneumonia?

Answer 23

amoxicillin

Question 24

any severity hospital acquired pneumonia

Answer 24

co amoxiclav

Question 25

coughing whoops followed by inspiratory whoop - case?

Answer 25

bordatella pertussis

Question 26

investigation of whooping cough?

Answer 26

culture of nasopharyngeal aspirate or swab

Question 27

what is stridor?

Answer 27

harsh inspiratory sound due to upper airway obstruction

Question 28

what should always be considered in a child with stridor

Answer 28

foreign body inhalation

Question 29

what do you give child with asthma at diagnosis?

Answer 29

PRN salbutamol and consider very low dose ICS

Question 30

when do you use LTRA?

Answer 30

if under 5

Question 31

when do you use LABA?

Answer 31

if over 5

Question 32

in acute attack (po2 <92 and PEF 33-55 of predicted) management ?

Answer 32

bronchodilators and steroids

Question 33

what steroid should be used/

Answer 33

prednisolone

Question 34

when would you use aminothylline?

Answer 34

only in unresponsive or life threatening