Children

Question 1

Respiratory symptoms + vomiting + mental changes +/- seizure/ coma

Answer 1

Reye syndrome

Question 2

Pallor + drowsiness + fever

Answer 2

Meningitis

Question 3

Pallor + abdominal pain (severe and intermittent) + inactivity

Answer 3

Intussusception

Question 4

Malaise + fever + poly arthritis (flitting) +/- rash +/- chorea

Answer 4

Rheumatic fever

Answer 5

Bronchiolitis

Answer 6

Pyloric stenosis

Question 7

Neonate: vomiting after first feeds + drooling + abdominal distension

Answer 7

Oesophageal or duodenal atresia

Question 8

Malaise + pallor + oral problems (gingival hypertrophy, bleeding, ulceration )

Answer 8

Acute myeloid leukaemia

Question 9

Malaise + pallor + bone pain

Answer 9

Acute lymphatic leukaemia

Question 10

Abdominal pain + pallor + a/n/v

Answer 10

Acute appendicitis

Question 11

Abdominal pain + malar flush + fever + URTI

Answer 11

Mesenteric adenitis

Question 12

During gastroenteritis epidemic: extreme malaise + diarrhoea + severe abdominal pain

Answer 12

Haemolytic uraemic syndrome

Question 13

Drowsiness + tachypnoea + chest wall recession

Answer 13

Pneumonia

Question 14

Drowsiness + fever + purpuric rash

Answer 14

Meningococcal infection

Question 15

Extreme lethargy + drooling saliva + snoring stridor

Answer 15

Acute epiglottitis

Question 16

URTI + brassy cough + inspiratory stridor

Answer 16

Croup

Question 17

Coughing + wheezing + chest wall recession

Answer 17

Asthma or inhaled foreign body

Question 18

Fever + conjunctivitis + skin changes (cracked red lips, maculopapular rash, erythema of palms/ soles, desquamation fingertips)

Answer 18

Kawasaki syndrome

Question 19

Large ears + narrow face + large genitals + developmental delay

Answer 19

Fragile x syndrome

Question 20

Small extremities (hands, feet, genitals) + narrow forehead + eating disorder + developmental delay

Answer 20

Prader- willi syndrome

Question 21

Elfin face + low set ears + cardiac murmur + developmental delay

Answer 21

Williams syndrome

Question 22

Female: short+ webbed neck + pigmented naevi +/- cardiac disorder + developmental delay

Answer 22

Turner syndrome

Question 23

Short + webbed neck + facial disproportion (broad forehead, ptosis, low set ears) +/- cardiac disorder + developmental delay

Answer 23

Noonan syndrome

Question 24

Fever + abdominal mass + haematuria

Answer 24

Wilms tumour

Question 25

Malaise + vague abdominal pain + abnormal behaviour

Answer 25

Lead poisoning

Question 26

H

Answer 26

Iron deficiency anaemia or thalassaemia major

Question 27

Fever + extreme malaise + a/n/v +/- anaemia

Answer 27

Neuroblastoma

Question 28

Headache + a/n/v + ataxia

Answer 28

Medulloblastoma

Question 29

Male: snorting, blinking etc + oral noises eg grunts, hisses +/- loud expletives

Answer 29

Tourette syndrome

Question 30

Irritability + disorders of appetite + abdominal pain

Answer 30

Substance abuse

Question 31

Mid to low back pain + inability to touch toes + kyphosis

Answer 31

Scheuermann disorder

Question 32

Knee pain after activity + tender knee lump + pain on kneeling

Answer 32

Osgood schlatter disorder

Question 33

Adolescent: limp + knee pain + hip pain

Answer 33

Slipped capital femoral epiphysis

Question 34

Lower limb arthralgia + buttock/ leg rash + abdominal pain

Answer 34

Henoch schonlein purpura