Paediatrics

Question 1

jaundice within 24-36h

Answer 1

haemolytic

Question 2

breastfeeding jaundice

Answer 2

first week

Question 3

physiological jaundice

Answer 3

2-14d

Question 4

obstructive jaundice

Answer 4

over 2w

Question 5

failure to pass meconium, abdominal distension and bilious vomiting

Answer 5

Hirschsprung’s disease

Question 6

bed wetting drug

Answer 6

desmopressin

Question 7

Ebsteins anaomaly

Answer 7

lithium in pregnancy

Question 8

Bilious vomiting on first day and double bubble on CXR

Answer 8

intestinal atresia

Question 9

Sandpaper rash and strawberry tongue

Answer 9

scarlet fever GAS

Question 10

scarlet fever manage

Answer 10

oral phenoxymethylpenicillin

Question 11

newborn screening hearing

Answer 11

otoacoustic emission test

Question 12

normal pCO2 in asthma attack

Answer 12

life threatened

Question 13

rash after a fever has passed in 6 months-2 years

Answer 13

roseola infantum

Question 14

paeds ALS

Answer 14

5 rescue breaths then 15:2 compressions to breaths

Question 15

paeds fluids

Answer 15

4 for the first 10kg then 2 for the next 10kg and then 1 for each kilogram thereafter

Question 16

red flag milestones

Answer 16

-no holding object 5m
-not sitting unsupported 12m
-not standing 18m
-not walking 2y
-not running 2.5y
-no words 18m
-no interest in others 18m

Question 17

whooping cough treatment

Answer 17

azithromycin or clarithromycin

Question 18

HSP triad

Answer 18

purpuric rash, joint pain and abdominal pain
(renal involvement with haematuria)

Question 19

anaemia, neutropenia and thrombocytopaenia in a child

Answer 19

ALL

Question 20

puffy swelling over presenting part crossing suture lines

Answer 20

caput succedaneum (CS Crosses Suture lines)

Question 21

IV fluid resus in kids

Answer 21

20ml/kg over less than 10 mins

Question 22

red flags for paeds assessment urgently

Answer 22

> 60 RR, grunting, reduced skin turgor, non-blanching rash, neck stiffness, seizures and bulging fontanelles

Question 23

short stature, webbed neck and widely spaced nipples

Answer 23

Turners 45XO

Question 24

tall male, gynaecomastia, small testicles, learning disability and infertility

Answer 24

Klinefelter’s 47XXY

Question 25

delay in speech and language development with intellectual disability, large ears, large testicles etc

Answer 25

fragile X

Question 26

rocker bottom feet, dysmorphic and structural abnormalities

Answer 26

pataus trisomy 13

Question 27

dysmorphic and learning disability with rocker bottom feet

Answer 27

edwards trisomy 18

Question 28

HUS triad

Answer 28

AKI
microangiopathic haemolytic anaemia
thrombocytopenia

Question 29

nec fash

Answer 29

group A invasive strep

Question 30

bilious vomiting first day of life

Answer 30

intestinal atresia
eg duodenal atresia in Down’s

Question 31

primary amenorrhoea, little/no axillary or pubic hair, elevated testosterone

Answer 31

androgen insensitivity syndrome 46XY but female phenotype

Question 32

small testes, infertility, gynaecomastia, above average height and lack of secondary sexual characteristics

Answer 32

klinefelter’s 47 XXY

Question 33

short stature female, primary amenohhoea, webbed neck with widely spaced nipples

Answer 33

Turners 45XO