Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

4th year written > Paeds > Flashcards

Paeds Flashcards

1
Q

indications for abx otitis media paeds

A

tympanic membrane perforated
< 3-months old
<2 years & infection bilateral
symptoms present >= 4 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

anaphylaxis adrenaline doses for children < & >6

A

150 microgram 1:1000
3000 microgram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CIs lumbar puncture (coning risk)

A

men sept
raised ICP
focal neurological signs
coagulation disorders
cardiovascular instability
delay abx deliver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

jaundice with a conjugated hyperbilirubinaemia

A

biliary atresia

dark urine and chalky white stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

cause of prolonged jaundice in infants.

Clinical features include dry skin, constipation, coarse facial features including a large tongue as in the figure, umbilical hernia and a hoarse cry.

In the UK it is usually identified on newborn biochemical screening (Guthrie test).

A

Hypothyroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

whilst neonatal hypoglycaemia is often under ….

it’s often treated if under …

A

2.5

1 (10% dextrose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most common finding of neonatal sepsis

A

respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when are bowed legs normal and when do they resolve

A

<3
by 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

prem babies immunisation changes

A

as per chronological age
if <28 –> 1st set in hospital due to apnoea risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

airway suction should not be performed in neonates unless there is …. because it can cause …..

A

meconium
reflex bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

initial Ix for febrile child

A

Full blood count
Blood culture
C-reactive protein
Urine testing for urinary tract infection
Chest radiograph only if respiratory signs are present
Stool culture, if diarrhoea is present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

intesessuption is often associated with (2)

A

exophalos
diaphragmatic hernia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is seen on blood films in TTP

A

schistocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

mx limp in <3

A

urgent paeds assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

milestone calculation in prem baby

A

normal milestone - (40 - gestational age)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

in child with fever remember

A

NICE traffic light system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

threadworms name

A

Enterobius vermicularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ix if FTT baby

A

FBC // TFTs // coeliac screen // sweat test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

key facts on each type of idiopathic arthritis

A

oligo - <=4 joints // girls<6
poly - 5>= // +ve RF
systemic - fever // rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

chest compressions on a child can also be commenced if

A

bradycardic (<30)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

parkland formula for paeds fluid for 1st 24hrs after a burn

A

4mL/kg/%BSA burn of Hartmann’s

give half in 1st 8 hours (other half in remaining 16hrs)

22
Q

most common cause pathological neonatal jaundice

A

biliary atresia

23
Q

tx vs prevention choices for NEC

A

prevention erythromycin
tx BSAbx

24
Q

Pancreatitis and infertility may follow … infection

A

mumps

25
Q

loud single S2 is audible and a prominent right ventricular impulse

A

TGAs

26
Q

differentiate infantile spasm from colic

A

In infantile spasms the child will become distressed between spasms, whereas in colic the child will become distressed during the ‘spasms’

27
Q

common transient problem post gastroenteritis

A

lactose intolerance

Removal of lactose from the diet for a few months followed by a gradual reintroduction

28
Q

intracranial haemorrhages in neonates

A

Subarachnoid: common // irritability + convulsions over the first 2 days of life

Subdural: following use of forceps

Intraventricular: pre-term infants // ultrasound

29
Q

undescended testes vs hyposdpadias mx

A

undescended: in 3m (ideally operation <6)

hypospadias: 12m

30
Q

undescended testes vs hyposdpadias complications

A

undescended: infertility & testicular torsion

hypospadias: cryptochidism & inguinal hernia

31
Q

The major risk factors for SIDS are:

A

prone sleeping
parental smoking
bed sharing
hyperthermia and head covering
prematurity

32
Q

if NEC deteriorates then manage with

A

laparotomy

33
Q

fluid levels in meconium ileus vs Hirschsprung

A

meconium –> no fluid levels

34
Q

maternal partum ICS use ++ risk of

A

DDH (lol!)

35
Q

when is PDA closed

A

1 week post delivery

36
Q

give abx in otitis media if

A

systemically unwell // immunocompromised

37
Q

DDx thalassaemia & sickle cell

A
  • first year of life with severe anemia and failure to thrive. Extramedullary haemopoiesis results in frontal bossing of the skull. Haemolysis results in hepatosplenomegaly
  • later in line, recurrent bone & chest pain, proliferative retinopathy
38
Q

gold standard test for streptococcal pharyngitis

A

Throat cultures (since centor isnt good enough)

39
Q

why do we defer giving antibiotics in the community if men sept is suspected (unless hospital tx is gonna be delayed or px is too sick)

A

abx can interfere with LP results

40
Q

freidrich’s ataxia inheritance pattern

A

autosomal recessive

41
Q

genetic disease common in children with consanguineous parents characterised by fatty substances, gangliosides, build up to toxic levels in the brain and spinal cord and affect the function of the nerve cells

A

Tay-Sachs disease

42
Q

immunisation associated with febrile convulsions

A

menB

43
Q

bruising that is more pronounced over bony prominences

A

ITP

44
Q

A 10 year old presents to his GP with several
episodes of dizziness which have occurred on
exercise over the past 3 months. On examination,
he has a harsh grade 4/6 ejection systolic murmur
which is loudest in the second right intercostal
space. There is an ejection click. From the list below
which is the most likely diagnosis?

A

aortic stenosis

45
Q
  1. What is the most common symptom of a UTI in a child aged <2 years?
A

unexplained fever

46
Q

UTI abx duration for boys and girls

A

boys - 7days
girls - 3days

47
Q

x-linked recessive conditions

A

haemophilia
DMD
G6PD deficiency

48
Q

x-linked dominant condition

A

fragile x (CGG // huntington’s GAG)

49
Q

autosomal dominant

A

marfan
ehler’s danlos syndrome
ryanodine deficiency

50
Q

autosomal recessive

A

cystic fibrosis sickle cell

51
Q

MMR vaccine is contraindicated in what allergy

A

neomycin

4th year written (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions