immunology paeds

Question 1

immunisations at 2 months

Answer 1

dtap polio hib rota pneumo hep b men b

Question 2

immunisations at 3 months

Answer 2

dtap polio hib rota men c

Question 3

immunisations at 4 months

Answer 3

dtap polio hib pneumo men b

Question 4

immunisations at 1 year

Answer 4

hib mmr men b pneumo

Question 5

immunisations 2-8

Answer 5

influenza

Question 6

immunisations 3-4

Answer 6

dtap polio mmr

Question 7

immunisations at 12-13

Answer 7

hpv

Question 8

immunisations at teens

Answer 8

dtp men ACWY

Question 9

live vaccines to not be used

Answer 9

bcg mmr influ yellow fever typhoid dtap

Question 10

innactivated vaccines

Answer 10

rubella influenza

Question 11

HAVE EGGS

Answer 11

mmr and influ

Question 12

broad spec antibiotics in those less than 3 months

Answer 12

ceftriaxone

Question 13

broad spec antibiotics in those more than 3 months

Answer 13

cefotaxime

Question 14

prophylaxisis to kissing contacts

Answer 14

rifampicin

Question 15

if lp contraindicated in mengitis what to do

Answer 15

ct

Question 16

lp signs in bac men

Answer 16

cloudy appearance, neutrophils but dec glucose

Question 17

lp sign sign tb men

Answer 17

clear appearance with really elevated protein and really dec glucose

Question 18

lp signs in viral men

Answer 18

clear or haxy appearnace with lymphocytes like in tb but the glucose will be normal here

Question 19

six causes of purpura

Answer 19

hsp, thrombocytopenia, steroids, DIC, Haemophilla, mengiococcal

Question 20

hsp causes fatalities to this organ and how

Answer 20

renal by caussing nephrotoc syn thereofre they will reg need urine dipstick to monitor it

Question 21

whats the rash of hsp like

Answer 21

is systemic erythematous macular rash on legs and bum ooh

Question 22

rash of thrombocytopenia

Answer 22

widespread and they bleed from nose and purpruic membrane

Question 23

baby boy with excessive bleeding prolonged time following tooth removal

Answer 23

haemophillia

Question 24

complication of haemophillia

Answer 24

haemarthosis- bleed into joint and fdamage it

Question 25

treat haemhorrhage in haemophilia

Answer 25

factor replacement

Question 26

the blood film of DIC patient

Answer 26

haemolytic anaemia fragmented RBC and abnormal coag screen therefore FBC so important to check - first line for this purpura stuff

Question 27

first line invx for purpura stuff

Answer 27

FBC

Question 28

differnece between purpura and petichiae

Answer 28

purpura is lager non blanching rash than petichiae

Question 29

HSP WHAT IS IT

Answer 29

throught to be some kind of igA vasculitis

Question 30

what number for the platelets would require transfusion

Answer 30

<20

Question 31

anaemia in purpura

Answer 31

hypochromic microcytic

Question 32

which lp result has high opening pressures

Answer 32

bacterial

Question 33

broad spec antibiotic in more than 3 months old

Answer 33

ceftriaxone

Question 34

contacts recieve what as prophylaxis

Answer 34

ciprofloxacin

Question 35

Mumps management

Answer 35

ribavirin

Question 36

centor criteria

Answer 36

``` FENT FEVER EDEMA NO COUGH TENDER LYMPHNODES ``` more than one makes likely toto be group A strep

Question 37

Chickenpox treatment and when is it infected till

Answer 37

Calamine lotion and chloramphenamine infective until lesion is crusted over

Question 38

Complication of group A strep

Answer 38

rheumatic fever causing polyarthritic arthritis then mitral stenosis

Question 39

major criteria in Rheumatic fever (2 of this needed or one of this)

Answer 39

``` JONES JOINT INVOLVMENT O LOOKS LIKE A O MYOCARDITIS N- NODULES SUBCUTAEOUS Erythema marginatum S sydenhams chorea ```

Question 40

minor criteria rheumatic fever (one of this or two of major one of minor needed)

Answer 40

``` CAFE PAL C crp increased A arthralgia F fever E elevated ESR ``` p - prolonged PR a - ANAEMESIS RHEUMATIS LEUKOCYTOSIS

Question 41

Measles prodrome

Answer 41

irritable fever conjunctivitis then KOPLICK spots in mouth

Question 42

measles rash spread

Answer 42

starts behind the 'easles' (ears) then spreas to whole body

Question 43

Slapped chick fifith disease and erythema infectiosum rash spread

Answer 43

slapped check rash spreads to arms and extensor surfaces

Question 44

Which disease is a rash that spares the face?

Answer 44

scarlet fever - occurs after a group A haemolytic streptococci infection as it is a reaction to the toxins produced by this bacteria

Question 45

Which disease causes a strawberry tongue ?

Answer 45

scarlet fever - yahhhh

Question 46

disease with 24 hr after antibotics exclusion

Answer 46

scarlet fever

Question 47

school exclusion criteria for whooping cough

Answer 47

2 days after antibiotics ( 21 days from onset of symptoms if no antibiotics)

Question 48

School exclusion criteria for measles and rubella

Answer 48

4 days from onset of rash

Question 49

school exclusion criteria for chickenpox

Answer 49

5 days from onset of rash

Question 50

school exclusion criteria for 5 days from onset of swollen glands

Answer 50

mumps

Question 51

school exclusion critia for imeptigo

Answer 51

untill lesions have crusted over

Question 52

which disease is the exclusion criteria until treated

Answer 52

scabies

Question 53

Which disease is the exclusion criteria untill recovered

Answer 53

influenza

Question 54

Features of moderate croup

Answer 54

barking cough stridor some resp distress- sternal wall retractions but no agitation the child is concentrating still interested in the surroundings

Question 55

Features of severe croup

Answer 55

frequent bark cough prominent stridor resp distress - sternal wall retractions significant distress and agitation TACHYCARDIA AND HYPOXAEMIA - differentiates severe from moderate

Question 56

Treatment of moderate and severe croup

Answer 56

admission admit also if 6 months old, upper airway abnormalities (laryngomalacia, DS) uncertain diagnosis with differentials that are serious like epiglottitis

Question 57

What does everyone with croup reieve

Answer 57

single dose oral dexamethasone

Question 58

Septic screen contents for < 3 months old

Answer 58

``` FBC Blood cultures crp urine check chest xray stool culture ```

Question 59

Fraser guidlines (5)

Answer 59

young person 1. understand the professional advice 2. cannot be persuaded to inform parents 3. likely to being or continue having sex without contrceptin 4. if they dont recieve the contraception their physical or mental health are likely to suffer 5. young persons best intersts are needed to recieve contraception advice and contraception without their parental consent

Question 60

Can you accept that a compentent child refusal to be treated

Answer 60

no you can treat in best interest