final push

Question 1

sandpaper rash cause

Answer 1

erythrogenic exotoxin

superficial skin inflammation and peri-oral pallor

can get abdo pain and headache

Question 2

first line imaging in child w limp

Answer 2

x ray

Question 3

A mother brings her 5-week-old newborn baby to see you. She reports that she has noticed that his belly button is always wet and leaks out yellow fluid. On examination, you note a small, red growth of tissue in the centre of the umbilicus, covered with clear mucus. The child is otherwise well, apyrexial and developing normally.

Which one of the following is the most likely diagnosis?

Answer 3

umbilical granuloma §

Question 4

ADHD advice

Answer 4

eat a normal balanced diet

Question 5

features of PDA

Answer 5

machinery murmur, heaving apex beat, wide PP, left supraclavicular thrill

Question 6

sertraline in first trimester

Answer 6

congenital heart defects

Use during the third trimester can result in persistent pulmonary hypertension of the newborn

Question 7

fragile X head

Answer 7

large

Question 8

breech baby scans

Answer 8

Arrange a hip ultrasound at 6 weeks is correct. A breech presentation at or after 36 weeks gestation constitutes a risk factor for developmental dysplasia of the hip (DDH). This holds even if the infant assumes a cephalic position spontaneously before delivery, is repositioned by an external cephalic version, or is delivered via caesarean section.