Child health- wrong answers Flashcards
(39 cards)
what is biliary atresia definitively diagnosed with
cholangiography- fails to show biliary tree
innocent murmurs- 6 S’s
soft
sensitive
systolic
short/small
single
symptomless
- often intensified by fevers/exercise
when does tetralogy of falot typically present
1-2 months old
what type of murmur does ventricular septal defect cause
harsh pan-systolic murmur, loudest at left lower sternal border
what murmurs are associated with coarctation of the aorta
ejection systolic murmur, heard loudest at the back in between the scapula
what would be felt on palpation of femoral pulses in infants with coarctation of the aorta
weak femoral pulses
what septal defect is strongly associated with downs syndrome
ventricular septal defect
what cardiac abnormality in infants is associated with a machine like murmur
patent ductus arteriosus
baby has collapsing pulse, machine like murmur, apnoeic episodes with bradycardia. what cardiac abnormality is likely?
patent ductus arteriosus
child presents with cold peripheries, weak/absent femoral pulses, difference in bp between upper and lower limbs. what cardiac abnormality most likely?
coarctation of the aorta
what is the most appropriate management of coarctation of the aorta
angioplasty and stent insertion
newborn baby with systolic murmur loudest in the back and radio-femoral delay. what cardiac abnormality most likely?
coarctation of the aorta
what is the most common congenital heart defect in infants of diabetic mothers
transposition of the great vessels
what type of murmur is seen in children with atrial septal defects
ejection systolic murmur, heard at upper left sternal border
what cardiovascular abnormality in children is associated with a fixed split second heart sound
atrial septal defect
acute severe asthma attack- steps in management
100% O2
nebulised bronchodilators (salbutamol and ipatropium bromide)
oral prednisone
IV magnesium sulphate
A __% or greater improvement in FEV1 after bronchodilator use (like salbutamol) is typically required to support an asthma diagnosis-
12%
peak flow variability greater than __% is suggestive of asthma
20%
a FeNO level of __ ppb or higher is indicative of asthma
35
best first step in management for chronic constipation with palpable faecal loading in children
movicol dis-impaction plan
what is the best investigation technique to diagnose pyloric stenosis
abdominal USS
what is the most common cause of acute gastroenteritis in children
norovirus
all babies born in UK are offered screening tests to detect for what?
congenital hypothyroidism
deafness
cystic fibrosis
PKU
sickle cell disease
what is the median age babies can walk unsteadily with a broad based gait
12 months
