Paediatrics

Question 1

no palpable testicles at baby check
1 palpable

Answer 1

refer
recheck at 3m and then refer

Question 2

when is the bloodspot done

Answer 2

5-9 days of life

Question 3

swelling over scalp in midline

Answer 3

caput succedaneum
resolved spent 24-48 hours

Question 4

cephalhaematoma
time to resolve
cx

Answer 4

doesn’t cross suture lines
3m to get better
cx jaundice

Question 5

erb
klumpke

Answer 5

c5-c6
c8-t1

Question 6

treatment for meconium aspirin syndrome

Answer 6

surfactant
suction

Question 7

PPH of newborn treatment

Answer 7

nitric acid
IV prostaglandin

Question 8

prem RDS caused by what
treatment

Answer 8

lack of surfactant released
steroids up to 36w
endogenous surfactant

Question 9

PDA what kind of murmur
treatment

Answer 9

machinery murmur
indomethacin

Question 10

large testes
high forehead
long ears
large jaw

Answer 10

fragile x

Question 11

tuberous sclerosis genetics

Answer 11

ADOM

Question 12

shagreen patch
ash green spots

Answer 12

TS

Question 13

downs genetics
hands

Answer 13

21 trisomy
single palmer creasen

Question 14

edwards genetics
nipples
feet

Answer 14

trisomy 188
separated nipples
rocker bottom feet

Question 15

patau
head
palate

Answer 15

13 trisomy
small head
cleft lip palate

Question 16

webbed neck
female appearance

Answer 16

turner

Question 17

klinefelters

Answer 17

XXY XXYY
small firm testes

Question 18

duchess
becker

Answer 18

die by early 20s
slower progression

Question 19

reflux treatment in kids

Answer 19

gavascon
omeprazole

Question 20

colic age

Answer 20

under 6m

Question 21

paroxysmal crying with legs pulled up

Answer 21

colic

Question 22

tine white spots

Answer 22

milia
self lim

Question 23

red blotch central white nodule

Answer 23

erythema toxicum
reassure

Question 24

under 24 hours jaundice causes

Answer 24

rhesus disease
ABO haemolysis
hereditary
GP6D defic

Question 25

12/13 weeks jaundice

Answer 25

Hilary atresia hepatitis hypothyroid UTI breast feeding

Question 26

kernictens encephalopathy

Answer 26

of unconjugated bilirubinh

Question 27

haemolytic uraemia syndrome what is it cause treatment

Answer 27

can't produce enough clotting factors ECOLI 0157 vit K

Question 28

HSP age cx

Answer 28

4-6yo renla involvement - haematuria

Question 29

coarctation of aorta symptoms treatment

Answer 29

absent / weak femoral pulses increased BP in arms prostaglandin E, balloon stenting

Question 30

TOF

Answer 30

VSD RVH RVOTO overriding aorta

Question 31

mumps cause

Answer 31

paramyxovirus

Question 32

pyrexia headache parotid swelling

Answer 32

mumps

Question 33

fever kolpick spots maculopapular rash OM

Answer 33

measles

Question 34

fever then rash LD arthritis

Answer 34

rubella

Question 35

benpen <1 1-9yo >10

Answer 35

300mg 600mg 1200mg

Question 36

rash peeling

Answer 36

immunoglobulin aspirin kawasaki

Question 37

sandpaper rash strawberry tongue

Answer 37

scarlet fever

Question 38

treatment of scarlet fever cx

Answer 38

IV penicillin OM RF Acute GN 10d post

Question 39

slapped cheek syndrome cause rx

Answer 39

parvovirus b19 self lim rash not involving palms and soles

Question 40

age and cause of bronch

Answer 40

RSV 3-6m

Question 41

croup cause and age

Answer 41

Parainfluenza 6m-3y

Question 42

epiglottis cause

Answer 42

hib

Question 43

whooping cough symptoms rx

Answer 43

coryza then whoop cough macrolide within 21 days

Question 44

what age to do USS in kids with UTI

Answer 44

<6m

Question 45

large blue bruise on bum

Answer 45

mongolian blue spot

Question 46

strawberry naevi

Answer 46

most regress by 2y propranolol

Question 47

risk factors for SID 5

Answer 47

smoker prem winter male URTI

Question 48

measles exclusion

Answer 48

4d before and 4d after rash

Question 49

rubella exclusion

Answer 49

7d before and 7d after symptoms

Question 50

scarlet fever

Answer 50

24 hour after abx

Question 51

slapped cheek

Answer 51

no exclusion to school

Question 52

whooping cough

Answer 52

2d after abx

Question 53

chicken pox

Answer 53

5d after rash

Question 54

west syndrome symp rx

Answer 54

tonic spasms loss of vision and social interaction steroids and vigabatrin

Question 55

when to treat bed wetting

Answer 55

over age of 5w

Question 56

when to refer if not walking

Answer 56

18 months

Question 57

supravalvular aortic stenosis

Answer 57

williams syndrome

Question 58

when to refer umbilical hernia in a child

Answer 58

by 2yo often resolve by 12m

Question 59

sensonurinal deafness congenital cataracts

Answer 59

congenital rubella

Question 60

high fever then rose pink macula's rash afterwards

Answer 60

Roseola infantum

Question 61

risk of further febrile seizure after having 1

Answer 61

30%

Question 62

what do NSAIDs increase the risk of in chicken pox

Answer 62

necrotising fasciitis

Question 63

impetigo school exclusion

Answer 63

48 hours of abx or until lesions have crusted

Question 64

knock knees resolve by what age

Answer 64

8

Question 65

Trendlenberg gait and leg length discrepancy in an older child

Answer 65

missed developemental dysplasia of the hip

Question 66

down syndrome recurrence

Answer 66

1 in 100

Question 67

chicken pox cx

Answer 67

encephalitis pneumonia bacterial infection disseminated haemorrhagic chickenpox

Question 68

labial adhesions management

Answer 68

conserv oestrogen cream surgery

Question 69

labial adhesions spontaneous resolution when

Answer 69

puberty