Paediatrics

Question 1

Kavasaki Disease age range and fever for at least how many days

Answer 1

Common in under 5yr olds
Persistent fever >38 for at least 5 days

Question 1

Kavasaki Disease features
TEMPERS

Answer 1

Temperature >5 das
Erythema - redness and swelling of hands/feet
Mouth - dry/crackled lips, strawberry tongue
Pace- treat early
Eyes - blood shot eyes
Rash - polymorphic blanching rash
Swollen neck gland (unilateral)

Question 2

Child cannot sit unsupported referral time

Answer 2

12 months

Question 3

Child walks at what age

Answer 3

12-18 months

Question 4

Child waves bye bye age

Answer 4

1yr

Question 5

First sign of testicular growth

Answer 5

12yrs (4mls)

Question 6

max growth spurt in boys

Answer 6

14

Question 7

breast development age

Answer 7

11

Question 8

menarche age

Answer 8

13-15

Question 9

precocious puberty age in boys

Answer 9

9

Question 10

precocious puberty age in girls

Answer 10

8

Question 11

talks in short sentences age

Answer 11

2.5-3

Question 12

vocabulary of 6 words

Answer 12

12-18 months

Question 13

combine 2 words

Answer 13

12 months

Question 14

knows and respond to own name

Answer 14

1 year

Question 15

Most common cause if hypertension in children

Answer 15

Renal parenchymal disease
L

Question 16

Febrile convulsions chance of recurrence

Answer 16

30%

Question 17

Formula fed babies with reflux and feeding issues that are not distressed

Answer 17

Reduce feeds to 150mls/kg and in smaller and more frequent feeds

Question 18

development milestone palmer grip

Answer 18

6 months

Question 19

development milestone draws circle

Answer 19

3yrs

Question 20

development milestone make Tower of 3-4 blocks

Answer 20

18 months

Question 21

Unilateral undescended testicle - review at 3 months - if persistent

Answer 21

refer to paeds surgeon

Question 22

Bilateral undescended testes

Answer 22

senior review within 24 hours

Question 23

At what age would the average child start to say ‘mama’ and ‘dada’?

Answer 23

9-10 months

Question 24

Thyroid function testing annually recommended in which 2 genetic conditions?

Answer 24

Turners syndrome Downs syndrome

Question 25

UTI <6months atypical or recurrent investigation

Answer 25

US during acute infection DMSA in 4-6months MCUG if us abrnomal

Question 26

UTI <6months typical pathogen investigation respond to abx in 48 hrs

Answer 26

US in 6 weeks

Question 27

UTI 6m - 3yrs investigation typical

Answer 27

no investigation

Question 28

UTI 6m - 3yrs atypical infection

Answer 28

US in acute infection DSMA in 3-4 months

Question 29

Diarrhoea duration in children vomiting duration in children

Answer 29

5-7 days 3 days

Question 30

Inguinal hernia and umbilical hernia in children management

Answer 30

Inguinal refer to surgery Umbilical conservative resolve at 4-5 years old

Question 31

Bed wetting referral age

Answer 31

6

Question 32

Risk factors for development displasia

Answer 32

Breech Large gestational age Oligohydramnios Multiple pregnancy

Question 33

Risk factors for neonatal sepsis

Answer 33

Group b strep Prelabour rupture of membranes Preterm birth before 37weeks Prom >18 hours Intrapartum temp more than 38 Antibiotics at time of labour or within 24 hours Suspected infection n confirmed infection in another baby in multiparity

Question 34

Developmental milestones red flag referrals Head controll Hold an object placed in hand Reach for an object Sit unsupported Walk by 18m in boy and 2yr girl Walk other than tiptoe Point at objects Run by

Answer 34

Head controll 3 months Hold an object placed in hand is 5 months Reach for an object 6 months Sit unsupported 12 months Walk by 18m in boy and 2yr girl Walk other than tiptoe Point at objects 2 years Run by 2.5 years speak three words by 12 months, use a spoon effectively by 18 months

Question 35

Fragile X Syndrome

Answer 35

Learning disability Large head Developmental delay Tantrums Hyperactivity Autism

Question 36

Sturgeon Weber syndrome

Answer 36

Epilepsy Developmental delay especially speech Capillary navels

Question 37

Prader willi syndrome

Answer 37

Neonatal hypotonia Swallowing difficulty Cryptorchidism genital hypoplasia Obesity

Question 38

Development miles stones motor red flags

Answer 38

Head control 3 months Reach and roll by 6 months Sit independently by 12months Not cruising by 15 months Not walking 18 months

Question 39

Hands held in a fist when over 3 months red flag or not?

Answer 39

Red flag Sign of hypertonia

Question 40

Emla and ametop components

Answer 40

1. Lidocaine and prilocaine 2.tetracaine

Question 41

Development of a 10 month old

Answer 41

Pincer grip, cruise, play peak a boo, wave bye bye

Question 42

1.Temperature that is high risk in u de 3 months 2.And intermediate risk in children 3m to 6 months

Answer 42

1. 38 2. 39

Question 43

Risk factors for DDH

Answer 43

Family history Females Oligohydraminos Breech Fetal abnornalities - CP Premature Low and high weight First born

Question 44

Parent ductus arteriosus

Answer 44

Machine like murmur heard under left clavicle Common in premature babies