Paediatrics

Question 1

Colicky pain and a sausage-shaped mass in RUQ

1. Diagnosis
2. Management

Answer 1

1. Intussusception
2. Air insufflation

Question 2

CrouP

• causative organism
• treatment

Answer 2

C = corticosteroids
P = Parainfluenza virus

Question 3

Kawasaki disease - management?

Answer 3

High-dose aspirin
IV immunoglobulin

(+ echocardiogram to exclude coronary artery aneurysm)

Question 4

Whooping cough - which antibiotic ?

Answer 4

Oral macrolide (clarithromycin, erythromycin, azithromycin)

Question 5

Middle vs anterior cerebral artery stroke ?

Answer 5

Middle = upper limbs
Anterior = lower limbs

Question 6

Paediatric BLS - ratio of chest compressions:breaths and rate of compressions = ?

Answer 6

100-120 compressions/min
Ratio of 15:2

Question 7

Intussusception - what is it, what imaging to perform, and what is seen on imaging?

Answer 7

Invagination of one portion of bowel into the lumen of another portion of bowel (most commonly the ileo-caecal region)

• Perform ultrasound
• Target-like mass seen on US

Question 8

Painless massive GI bleeding requiring a transfusion in children between the ages of 1 and 2 years.

Answer 8

Meckel’s diverticulum

Question 9

Child with Down’s syndrome/cleft palate and glue ear (otitis media with effusion)

Answer 9

Refer to ENT