Paediatrics

Question 1

what method of hearing test is used in the school entry health screening program?

Answer 1

pure tone audiometry

Question 2

what method of hearing test is used in the newborn screening program?

Answer 2

otoacoustic emission test

Question 3

what is the most appropriate measure of obesity in children?

Answer 3

BMI adjusted to age and gender

Question 4

what is the management for whooping cough?

Answer 4

oral macrolide (clarithromycin, erythromycin, azithro) if within 21 days of onset of cough

Question 5

what are the features of congenital rubella?

Answer 5

sensorineural deafness
cong cataracts
cong ht disease
glaucoma

Question 6

what are the features of congenital CMV?

Answer 6

low birth weight
purpuric skin lesions
sensorineural deafness
microcephaly

Question 7

what are the features of an irritant dermatitis nappy rash?

Answer 7

due to irritant effect of urinary ammonia and faeces
creases characteristically spared
most common cause

Question 8

what are the features of a candida dermatitis nappy rash?

Answer 8

erythematous rash
involves flexures
characteristic satellite lesions

Question 9

what is the initial management for transposition of the great arteries?

Answer 9

maintenance of ductus arteriosus with prostaglandins
PgE1

Question 10

what is the effect of NSAIDs/indometacin on PDAs?

Answer 10

encourages closure

Question 11

features of tetralogy of fallot?

Answer 11

PROVE
Pulmonary stenosis
Right ventricular hypertrophy
Overriding aorta
VSD
(ejection systolic murmur)

Question 12

mgt meningitis less than 3 months old?

Answer 12

cefotaxime and amoxicillin

Question 13

minimum time between MMR vaccine doses?

Answer 13

<10 years old - 3 months
>10 - 1 month

Question 14

features of slipped capital femoral epiphysis?

Answer 14

10-15y
more common in obese boys
hip/groin/thigh/knee pain
loss of internal rotation of leg in flexion

Question 15

mgt of slipped capital femoral epiphysis?

Answer 15

internal fixation with single cannulated screw

Question 16

ix for slipped capital femoral epiphysis?

Answer 16

AP and lateral X rays

Question 17

puberty order rhyme mnemonics?

Answer 17

boobs, pubes, grow, flow
grapes, drapes, grow, blow

Question 18

investigation of choice for pyloric stenosis?

Answer 18

USS abdo

Question 19

mgt of pyloric stenosis?

Answer 19

ramstedt pyloromyotomy

Question 20

coughing followed by periods of turning blue?

Answer 20

pertussis
(bordetella pertussis)

Question 21

other names for erythema infectiosum?

Answer 21

fifth disease
slapped-cheek syndrome
caused by parvovirus b19

Question 22

features of erythema infectiosum?

Answer 22

lethargy, fever, headache
‘slapped-cheek’ rash spreading to proximal arms and extensor surfaces

Question 22

virus causing hand foot and mouth?

Answer 22

coxsackie a16
(hand foot mouth cox)

Question 22

cyanotic congenital heart diseases?

Answer 22

TOF
transposition
tricuspid atresia

Question 23

blood gas in pyloric stenosis?

Answer 23

hypochloraemic hypokalaemic metabolic alkalosis

Question 24

features of retinoblastoma?

Answer 24

absence of red reflex strabismus visual problems

Question 25

what virus causes roseola infantum?

Answer 25

HHV 6 - rosixola

Question 26

which virus causes kaposi's sarcoma?

Answer 26

HHV8

Question 27

investigation for intussusception?

Answer 27

abdo USS

Question 28

which organism causes croup?

Answer 28

parainfluenza virus

Question 29

management of spasticity in CP?

Answer 29

oral diazepam oral and intrathecal baclofen botulinium toxin type A orthopaedic surgery selective dorsal rhizotomy

Question 30

features of turners syndrome?

Answer 30

45X0 short stature wide spaced nipples webbed neck cardiac - bicuspid aortic valve/ coarctation >>> ejection systolic murmur primary amenorrhea

Question 31

most common heart lesion associated with Duchenne muscular dystrophy?

Answer 31

dilated cardiomyopathy

Question 32

mgt meningitis in less than 3 month old?

Answer 32

IV amoxicillin and cefotaxime

Question 33

mgt meningitis in >3months?

Answer 33

IV cefotaxime + steroids if: purulent CSF, CSF WCC>1000, raised CSF WCC with protein over 1g/l, bacteria on gram stain

Question 34

edward's syndrome?

Answer 34

trisomy 18 micrognathia low set ears rocker bottom feet overlapping of fingers

Question 35

patau syndrome?

Answer 35

microcephaly