Mixed Q Bank Flashcards

(52 cards)

1
Q

Which murmur is present in turners

A

Coarctation of aorta

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2
Q

Short stature, widely spaced nipples, webbed neck, aortic issues, primary amenorrhoea . What condition?

A

Turners syndrome

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3
Q

Bouts of excess crying and pulling up of legs, then flexing arms in under 3 month old. Dx?

A

Infantile spasms

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4
Q

Mx of infantile spasms?

A

Nothing - common and benign

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5
Q

Mx of child under 3 months with fever over 38?

A

Urgent assessment in hospital for ?sepsis

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6
Q

RIF pain with bloody diarrhoea?

A

Meckels diverticulum

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7
Q

RIF pain with coryzal prodrome?

A

Mesenteric adenitis

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8
Q

Neonatal hypotonia is most likely what?

A

Prader Willi

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9
Q

Ix for intussuception?

A

USS

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10
Q

Sx of intersusseption?

A

Abdo colic - draw up knees and turn pale
Vomiting
Red currant jelly stool
Sausage shaped mass in RUQ

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11
Q

High pitched cry in infancy ?

A

Cri du chat

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12
Q

Small jaw, low set ears, rocker bottom feet, overlapping fingers

A

Edwards syndrome (trisomy 18)

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13
Q

Learning difficulties, long narrow face, large ears, flexible fingers, large testicles

A

Fragile X syndrome

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14
Q

Webbed neck, pectus excavatum, short, pulmonary stenosis

A

Noonan,s

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15
Q

Microcephaly, small eyes, cleft palates, polydactyl, scalp lesions

A

Pataus

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16
Q

Hypogonadism, hypotonia, obesity

A

Prader willi

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17
Q

Learning difficulties plus friendly and extroverted

A

Williams syndrome

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18
Q

Mx of meningitis in children under 3 months

A

IV cefotaxmine and amoxicillin

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19
Q

Mx of meningitis in over 3 months old

A

IV ceftriaxone

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20
Q

5 diagnostic criteria of Kawasaki

A

High grade fever for 5+ days
Conjunctival injection
Bright red cracked lips
Strawberry tongue
Cervical lymphadenopathy
Red palms and soles

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21
Q

Mx of Kawasaki

A

High dose aspirin
IV immunoglobulins

22
Q

Complication and Ix for Kawasaki

A

Coronary artery aneurysm - echo

23
Q

Cause of early onset sepsis in newborns

A

Group b strep

24
Q

Imms at 2 months

A

6 in 1
Rotarvirus
Men B

25
Imms at 3 months
6 in 1 Rotarvirus PCV
26
Imms at 4 months
6 in 1 Men B
27
Imms at 1 year
HiB / Men C MMR PCV Men B
28
Imms at 3 to 4 years
4 in 1 MMR
29
Imms as teenager with age
12 to 13 - HPV 13 to 18 - 3 in 1
30
What’s in 6 in 1 vaccine?
Diphtheria, tetanus, whooping cough, polio, HiB, Hep B
31
Whats in the 4 in 1 vaccine?
Diphtheria, tetanus, whooping cough and polio
32
What’s in the 3 in 1 teenage booster?
Tetanus, diphtheria, polio
33
Neonatal features of CF
Meconium ileus, prolonged jaundice
34
Sx of CF
Main = Recurrent chest infections, malabsorption - steatorrhoea, liver disease Also = short stature, DM, delayed puberty, nasal polyps, rectal prolapse
35
Blood features of ALL
Anaemia, neutropenia, thrombocytopenia and high WCC
36
Features of measles?
eyes, ears, mouth, nose Prodromal symptoms (nose) Koplik spots - white lesions in buccal mucosa (mouth) Maculopapular rash starting behind ears (ears) Conjunctivitis (eyes)
37
Peak incidence of ALL
2 to 5 years
38
Organism for hand foot and mouth disease
Coxsackie a16
39
Main cause of ambiguous genitals
Congenital adrenal hyperplasia
40
Loose foul smelling poo and poor growth after weaning. Abdo distension and anaemia. Dx?
Coeliac
41
Oedema (periorbital usually), proteinuria, hypoalbuminaemia in child ?
Nephrotic syndrome - most commonly minimal change disease
42
Pain and imobile join in sickle patient, causative organism?
Salmonella typhi
43
Dose of adrenaline in anaphylaxis Mx?
300mg 1 in 1000
44
Prophylactic treatment of respiratory distress in neonates?
Steroids to mum
45
Itchy bum / genitals worse at night. Normal examination?
Threadworm
46
Rash over legs and bum, abdo pain, joint pain, haematuria?
Henoch Schonlein Purpura
47
What is HSP?
Small vessel vasculitis - the most common in kids
48
Delay in passing meconium, bilious vomiting, bubbly appearance on AXR
Meconium ileus
49
What condition is associated w Meconium ileus?
CF
50
Consequence of intubation in new borns that is screened for?
Retinal hypertrophy
51
Pierre Robin features ?
Cleft palate, retracted tongue, small lower jaw
52
What problems do Pierre robin babies have?
Difficulty feeding due to anatomy