Paeds Flashcards

1
Q

Fibromas in the brain + Bilateral acoustic neuromas

A

Neurofibromatosis type 2

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2
Q

Cafe au last spots, neurofibromas, optic gliomas, litchi nodules

A

neurofibromatosis Type 1

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3
Q

Hx of trauma/abuse, shaken baby

A

subdural haemorrhage

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4
Q

Explosive flatus on PR

A

Hirschsprung disease

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5
Q

painless, bright red, rectal bleeding

A

juvenile polyps

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6
Q

Infant drawing up legs, flinging out arms

A

West syndrome

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7
Q

Hemifacial contorsions, inability to speak, abnormal feelings in tongue

A

benign rolandic epilepsy

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8
Q

URTI followed by stridor, response distress, vaccinated against HIB

A

Bacterial trachietis

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9
Q

Inconsolable crying, abdominal distension, green vomit, cool peripheries

A

Malrotation with volvulus

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10
Q

generalised seizure

A

valproate or lamotrigine

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11
Q

sodium valproate

A

increased weight, alopecia, teratogenic

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12
Q

One month old, jaundice day 3 then resolved, now jaundice again, pale stools

A

biliary atresia

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13
Q

double bubble on XR

A

duodenal atresia

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14
Q

Tinnitus, bilateral frontal headache, visual blurring

A

idiopathic intracranial HTN

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15
Q

unstable walking, multiple ear infections

A

ataxia telangiectasia

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16
Q

overweight teenager, painful hip, external rotation of leg

A

SUFE

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17
Q

Short stature, diarrhoea, neutropenia, low faecal elastase AR

A

scwachman-diamond syndrome

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18
Q

fell from monkey bars, bruises on back, spiral fracture

A

NAI

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19
Q

hypotonia, fasciculation of tongue muscles, absent tendon reflexes

A

spinal muscular atrophy type 1

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20
Q

Ground glass appearance of CXR

A

RDS

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21
Q

Absence seizures

A

Ethosuximide

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22
Q

delayed puberty, anomia, AD/AR

A

Kallman’s syndrome

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23
Q

short stature, webbed neck, wide spaced nipples

A

Turner syndrome

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24
Q

abdo mass crossing midline

A

neuroblastoma

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25
Q

Premature baby, formulae fed, abdo distension, bilious vomiting, bloody bowel movements

A

NEC

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26
Q

vomits after feeds, good growth

A

GOR

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27
Q

Puffy eyes, swollen feet, abdo pain

A

nephrotic syndrome

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28
Q

Headache worse in the morning, ataxic gait, nystagmus

A

medulloblastoma

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29
Q

Testicular swelling larger when standing, transilluminates

A

hydrocele

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30
Q

Rash after fever on trunk

A

roseola infantum

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31
Q

Flattened femoral head, <12 years, limping

A

perthes disease

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32
Q

Progressive distal muscle wasting, high arched feet, motor sensory neuropathy

A

Charcot-marie toothq

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33
Q

laughing paroxysms, uplifted arms on walking

A

angle man syndrome

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34
Q

long face, big ear, macro-orchidism

A

fragile X

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35
Q

Headache at the end of the day-band like

A

tensions headaches

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36
Q

tongue fascinations, absent deep tendon reflexes, severe hypotonia

A

SMA type 1

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37
Q

Indigenous child, knee pain, swelling, febrile murmur at apex

A

rheumatic fever

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38
Q

Bright red cheeks, lace like rash, red cell aplasia

A

Parovirus B19

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39
Q

Perineal prutitis

A

pin work

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40
Q

White spots on palate (kopeck spots), conjunctivitis cough, cephalocaudal spread of rash

A

measles

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41
Q

Mono phasic expiratory wheeze, noisy breathing, worse when crying

A

layngomalacia

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42
Q

worsening ataxia, distal leg wasting

A

freidrich ataxia

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43
Q

megaloblastic anaemia, pancytopaenia, cafe au last spots, malformed thumbs

A

fanconi anaemia

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44
Q

port wine stain

A

Sturge weber syndrome

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45
Q

Fever >5 days, conjunctivitis, rash, erythema (peripheral), lymph(A)denopathy, mouth (red tongue)

A

Kawasaki disease

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46
Q

Early puberty, bone dysphasia, hyperpituitarism, hyperthyroid, cafe au last spots

A

McCune-Albright

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47
Q

epicanthic fold, brush field spots, wide space between 1st and 2nd toe

A

Down syndrome

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48
Q

Hip and knee pain, URTI last week afebrile

A

Transient synovitis

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49
Q

abdominal wall defect no peritoneum

A

Gastrochisis

50
Q

Neck webbing, low set ears, affect both sexes

A

Noonan syndrome

51
Q

morning headache, vomiting, papilloedmea

A

cerebral astrocytoma

52
Q

Rash over hands and feet and mouth ulcers

A

hand, foot mouth diease

53
Q

itchy rash appearing in crops

A

chicken pox

54
Q

abdominal wall defect peritoneum

A

Exomphalos

55
Q

Unable to swallow, toxic child with stridor, HIB

A

epiglottitis

56
Q

Shagreen patches, ash leaf spots, peri-fungal fibroma, adenoma sebaceous

A

tuberous sclerosis

57
Q

Barking cough, parainfluenza virus

A

croup

58
Q

difficulty chewing and swallowing food, bilateral ptosis

A

myasthenia gravis

59
Q

testicular swelling, larger when standing, bag of worms appearance

A

varicocele

60
Q

Agranulocytosis, hepatotoxicity

A

carbamazepine

61
Q

Down syndrome, recurrent croup infections

A

subglottic stenosis

62
Q

6 month old, vomiting, eczema

A

cow’s milk protein intolerance

63
Q

Anterior hydronephrosis in a male, oligohydraminos

A

posterior urethral valves

64
Q

Focal seizure

A

carbamazepine or lamotrigene

65
Q

young teenage girl, knee pain, painful lump on shin

A

osgood Schalter

66
Q

Rocker bottom feet

A

Edward syndrome

67
Q

baby with diffuse wheeze and crackers, sibling had recent URTI

A

Bronchiolitis

68
Q

6 week old infant, jaundice no dilated ducts

A

Biliary atresia

69
Q

X-linked recessive eczema, thrombocytopenia, immunodeficiency

A

wiskott-aldrich syndrome

70
Q

trident shaped hands

A

achondroplasia

71
Q

hip pain, fever, irritable, miserable pain on movement

A

septic arthritis

72
Q

Throbbing headache, teenage girl, worse when looking at lights

A

migraine

73
Q

strawberry tongue, sandpaper like rash

A

Scarlett fever

74
Q

Barking cough, pseudomembranous pharyngitis, bull neck, lymphadenopathy, fever

A

diphtheria

75
Q

Target sign on U/S, red stools, midline mass

A

intussusception

76
Q

abdominal distension and buttock wasting

A

coeliac

77
Q

well circumscribed, erythematous, painful leisons in child with constipation likely due to a scratch

A

perinatal strep (cellulitis) - penicillin

78
Q

MEMBRANOUS tonsils exudate, generalised lymphadenopathy, hepatosplenomegaly and faint macular rash

A

EBV

79
Q

running outside barefoot, groin lump, tender and red

A

inguinal lyphadenopathy

80
Q

meconium ileus, recurrent chest infections

A

CF

81
Q

bow legs, bead like costoschondral junction, craniotabes

A

rickets

82
Q

multiple different seizures, neurodevelopment delay

A

lennox-gastraut

83
Q

6 week old infant, jaundice, dilated ducts on US

A

choledochal cyst

84
Q

blue dot sign

A

torsion of appendix of testes

85
Q

bilateral painful ankle swelling, buttock rash

A

HSP

86
Q

drop attacks

A

atonic attacks

87
Q

GOR and back arching

A

sandifer syndrome

88
Q

Projectile vomiting

A

pyloric stenosis

89
Q

Gower’s sign, dilated cardiomyopathy, enlarged calves

A

Duchenne’s muscular dystrophy

90
Q

Cessation of activity, lip smacking, 3 second spike and wave discharge

A

absence seizure

91
Q

GI symptoms and red lumps on shins

A

Crohn’s disease

92
Q

bilateral jerking of limbs, clumsy, consciousness maintained, usually while sleeping

A

myoclonic seizure

93
Q

large intestines, macroglossia, exomphalos, neonatal hypoglycaemia, wills tumor

A

beckwith Wiedemann

94
Q

Pulmonary stenosis, butterfly vertebrae, biliary atresia, TOF

A

alagille syndrome

95
Q

Hypogonadism, microphonic, gynaecostastia, tall

A

klienfelter syndrome

96
Q

10 year old, recurrent abdo pain, better on weekend

A

abdominal pain of childhood

97
Q

Vomits after feeding, poor growth, irritable

A

GORD

98
Q

elfin facies, transient neonatal hypercalcaemia, supravalvular aortic stenosis

A

William syndrome

99
Q

Proctitis, child abuse, constipation with straining, CF

A

rectal prolapse

100
Q

high riding testes absent cremasteric reflex

A

testicular torsion

101
Q

Maculopapular rash, not coryza symptoms, foscheimmer’s spots

A

rubella

102
Q

C-section, tachypnoea, increased marking and fluid in fissure on CXR

A

TTN

103
Q

jaundice hepatospelnomegaly, multiple spider nave, teenager

A

Wilsons disease

104
Q

seizure after a fright

A

breath holding

105
Q

episodic visual distortions or hallucinations and migraine like headache

A

benign occipital epilepsy

106
Q

Micrognathia, cleft palate

A

Pierre robin syndrome

107
Q

post gastro, diarrhoea for 2 weeks

A

lactose intolerance

108
Q

Pregabalin

A

weight gain

109
Q

Red eyes in an infant, staccato cough

A

chlamydia

110
Q

Septic baby massive splenomegaly, no jaundice

A

glycogen storage disease

111
Q

Phenytoin

A

sedation in children, hirsutism, gingival hypoplasia, skin reactions in Asia

112
Q

Carbamazepine

A

can make absence seizures worse

113
Q

corkscrew sign

A

malrotation with volvulus

114
Q

fever, tonic clonic seizure lasting 5 minutes <6 years

A

febrile convulsions

115
Q

Young teenage female, knee pain esp when standing from sitting or walking up stairs

A

chondromalacia patallae

116
Q

child wakes from sleep with no cause, pain in shins or feet age 3-12

A

growing pains

117
Q

malformed thumbs, microcephaly, anaemia, facial malformation

A

diamond-blackfan anaemia

118
Q

burrows in weber spaces

A

scabies

119
Q

Painless bright red blood with bowel movements

A

Meckels diverticulum

120
Q

abdo mass not crossing midline

A

wilms tumor

121
Q

Post URTI, central abdo pain, low fever

A

mesenteric adenines

122
Q

almond shaped palpebral fissures, hyperphagia

A

prader willi