MSRA paeds

Question 1

Talipes equinovarus is bilateral in what percentage of cases?

Answer 1

50%

Question 2

cocksackia A16 virus causes what illness?

Answer 2

Hand foot and mouth

Question 3

prostaglandins can be used in which cardiac conditions?

Answer 3

Duct dependant eg. TOF, pulm atresia/stenosis

Question 4

brushfield spots on examination of the iris is associated with what condition?

Answer 4

Down Syndrome

Question 5

microcephaly, small eyes, low-set ears, cleft lip and polydactyly are associated with what syndrome?

Answer 5

Patau syndrome

Question 6

Patau syndrome is caused by abnormalities on what chromosome?

Answer 6

13

Question 7

parainfluenza viruses commonly cause what paediatric condition?

Answer 7

Croup

Question 8

haemophilia is inherited in what pattern?

Answer 8

X linked recessive

Question 9

what type of septal defect is associated with tetralogy of fallot?

Answer 9

Ventricular septal defect

Question 10

a rash beginning on the face before spreading is associated with what illness?

Answer 10

Rubella

Question 11

a cephalohaematoma crosses suture lines - true or false

Answer 11

False

Question 12

a cephalohaematoma develops a few hours after birth - true or false

Answer 12

true

Question 13

acrocyanosis describes what

Answer 13

peripheral cyanosis around the mouth and extremities

Question 14

barters syndrome causes what electrolyte abnormality in children?

Answer 14

hypokalaemia

Question 15

macroorchidism is associated with what genetic disorder

Answer 15

fragile x

Question 16

fragile x children tend to have a smaller head than normal - true or false

Answer 16

False
they have a LARGER head than normal

Question 17

bed sharing is a risk for SIDS - true or false

Answer 17

True

Question 18

sunburst appearance on x ray is associated with what sort of tumour?

Answer 18

Osteosarcoma

Question 19

what is the most common cause of primary headache in children?

Answer 19

Migraine

Question 20

when should children be referred for umbilical hernias since birth?

Answer 20

2 years, most resolve by 12 months

Question 21

in perforated tympanic membrane when should antibiotics be prescribed?

Answer 21

For perforations which occur following an episode of otitis media

Question 22

webbed neck and pacts excavated are associated with what syndrome?

Answer 22

Noonan syndrome

Question 23

small eyes and polydactyly are associated with what syndrome?

Answer 23

Patau syndrome

Question 24

learning difficulties and macrocephaly in males is associated with what syndrome?

Answer 24

Fragile X

Question 25

rocker bottom feet and low set ears are associated with what syndrome?

Answer 25

Edwards syndrome (trios 13)

Question 26

Supravalcular aortic stenosis, short stature and learning difficulties are associated with what syndrome?

Answer 26

Williams syndrome

Question 27

hypotonia, obesity and hypogonadism are associated with what syndrome?

Answer 27

Prader-willi syndrome

Question 28

cleft palate, posterior displacement of tongue and microganthia are associated with what syndrome?

Answer 28

Pieere Robbin syndrome

Question 29

what investigation is first choice in intessuception?

Answer 29

USS

Question 30

maternal mortality is defined as what

Answer 30

any death in pregnancy, labour or 6 weeks post partum

Question 31

kawasaki disease leads to what complication what should be screened for with ECHO?

Answer 31

Coronary artery aneurysms

Question 32

in whooping cough what antibiotic should be given?

Answer 32

Oral Macrolide eg. azithromycin, clarithromycin. ABx prophylaxis for household contacts

Question 33

steroid therapy should be given to all children with an asthma exacerbation - true or false

Answer 33

True

Question 34

Oligohydraminios is a risk factor for DDH - true or false

Answer 34

True

Question 35

in x linked recessive conditions - each male child of a heterozygous female carrier has what chance of being affected?

Answer 35

50%

Question 36

hand preference before what age is abnormal?

Answer 36

12 months

Question 37

hand foot and mouth disease requires exclusion from school - true or false

Answer 37

False

Question 38

Heel prick test is warranted for all children at 5-9 days of birth - true or false

Answer 38

True

Question 39

what is the most common congenital cardiac abnormality in down syndrome?

Answer 39

Atrioventricular septic defects

Question 40

what is the first line treatment to prevent neonatal RDS in those at risk of preterm labour?

Answer 40

Administer dexamethasone to the mother

Question 41

what is the most common causative organism in haemolytic uraemic syndrome?

Answer 41

E.Coli 0157

Question 42

What clinical triad is present in haemolytic uraemic syndrome?

Answer 42

AKI microangiopathic haemolytic anaemia thrombocytopenia

Question 43

which vitamin deficiency is associated with neural tube defects?

Answer 43

Folic acid

Question 44

hence-schonlein purpura is what sort of sense?

Answer 44

IgA mediated small vessel vasculitis

Question 45

what type of rash is seen in HSP?

Answer 45

Palpable purpuric rash - buttocks + extensor surfaces of arms and legs

Question 46

what is the most common cause of nephrotic syndrome in children?

Answer 46

minimal change disease