Paeds

Question 1

What major complication can Kawasaki disease lead to?

Answer 1

Coronary artery aneurysm

Question 2

How is Kawasaki disease managed?

Answer 2

Aspirin + Immunoglobulin

Question 3

How is severe nappy rash managed?

Answer 3

1% hydrocortisone
Imidazole if candida

Question 4

Autosomal dominant are often metabolic and recessive often structural. T or F

Answer 4

False. Recessive = Metabolic. Dom = Structural

Question 5

Which structural disorder is AR and not AD

Answer 5

Frederichs ataxia

Question 6

Which ages are children immunised for against whooping cough?

Answer 6

2, 3, 4 months and 3-5 years

Question 7

When should antibiotics be given for whooping cough and which one?

Answer 7

Onset of cough < 21 days
Macrolide (-mycin)

Question 8

Women during what period of gestation are offered the whooping cough vaccine?

Answer 8

16-32 weeks

Question 9

Hirschprungs disease is characterised by what?

Answer 9

Aganglionic bowel

Question 10

What is the clinical triad of shaken baby syndrome?

Answer 10

Retinal haemorrhages
Subdural haematoma
Encephalopathy

Question 11

Which hearing test is offered to newborns?

Answer 11

Otoacoustic emissions test

Question 12

If the otoacoustic emissions test is abnormal, what test happens next?

Answer 12

Auditory brainstem response test

Question 13

Which is the most common cause of bacterial pneumonia in children?

Answer 13

S. pneumoniae

Question 14

What is the treatment of pneumonia in children?

Answer 14

1. Amoxocillin
2. Macolide + amoxicillin

Question 15

Hand preference before what age is abnormal?

Answer 15

12 months

Question 16

Which drug is given to neonates with a patent ductus arteriosus?

Answer 16

Indomethacin / ibuprofen

Question 17

Which drug keeps the ductus arteriosus open?

Answer 17

Prostaglandin E1

Question 18

When is the heel prick test done?

Answer 18

5-9 days post birth

Question 19

What are the features of innocent murmurs?

Answer 19

soft, symptomless, standing/sitting, systolic, short

Question 20

What are the types of innocent mumurs in children?

Answer 20

Still’s
Venous hum

Question 21

Symptoms and management of scarlet fever

Answer 21

sore throat. coarse rash, red tongue, fever
Phenoxymethylpenicillin or azithromycin

Question 22

What is the most common complication of Scarlett fever?

Answer 22

Otitis media

Question 23

What are the 4 features of TOF

Answer 23

VSD
Overriding aorta
RV outflow obstruction
RVH

Question 24

Which way is the shunt in TOF

Answer 24

R to L

Question 25

Cause of acute epiglottis

Answer 25

HI type B

Question 26

Pathology in Perthes disease

Answer 26

Avascular necrosis of the hip

Question 27

Characteristic rash in roseola infantum

Answer 27

rash AFTER fever

Question 28

Where does a measles rash classically start

Answer 28

behind the ears

Question 29

Difference in fever characteristics parvo vs roseola

Answer 29

parvo mid roseola high

Question 30

What causes roseola

Answer 30

human herpes 6

Question 31

Most common cause of croup

Answer 31

Parainfluenza virus 1+2

Question 32

Gap between live virus injections

Answer 32

4 weeks

Question 33

When is the MMR vaccine administered

Answer 33

12-15 months 3-4 years

Question 34

The measles virus is RNA

Answer 34

True

Question 35

ABG in pyloric stenosis

Answer 35

Raised HCO3 Low chlor Low k

Question 36

F > M risk in DDH

Answer 36

True

Question 37

Features of the murmur in PDA

Answer 37

Continuous Machinery like Subclavicular Large volume collapsing pulse

Question 38

Characteristic rash in JIA

Answer 38

Salmon pink

Question 39

Characteristic rash in JIA

Answer 39

Salmon pink

Question 40

When is the pertussis vaccine given

Answer 40

2 3 4 months 3-5 years Pregnant 16-32 weeks

Question 41

Management of childhood asthma

Answer 41

1. SABA 2. SABA ICS 3. SABA ICS LTRA 4. SABA ICS LABA 5. SABA MART

Question 42

Management of childhood asthma

Answer 42

1. SABA 2. SABA ICS 3. SABA ICS LTRA 4. SABA ICS LABA 5. SABA MART

Question 43

Hand preference before which age is abnormal?

Answer 43

12 month

Question 44

Which are the cyanotic heart disease?

Answer 44

Tricuspid atresia Tranposition Tetralogy Trunks arteriosus Think CT - cyanotic Ts

Question 45

Risk factors for surfactant lung disease

Answer 45

Male maternal DM Oligohydramnios C section Prematurity

Question 46

In X linked recessive inheritance, only males are affected

Answer 46

True

Question 47

Male to male transmission is not seen in X linked recessive conditions

Answer 47

True

Question 48

Homozygous women transfer x linked inherited conditions

Answer 48

False. Heterozygous females transfer a 50% risk to males and a 50% carrier risk to females

Question 49

Knee pain, swelling and locking

Answer 49

Osteochondirtis dissecans

Question 50

Which syndromes can cause obesity in chidlren

Answer 50

Down's, Cushing's, Prader Willi

Question 51

Partial seizures at night

Answer 51

Benign Rolandic epilepsy

Question 52

When is the 6 in 1 vaccine given

Answer 52

2, 3 and 4 months

Question 53

When is MenB vaccine given?

Answer 53

2, 4, 12 months

Question 54

When is the rotavirus vaccine given?

Answer 54

2 and 3 months

Question 55

Pneumococcal vaccine ages

Answer 55

3 months, 12 months, 65y

Question 56

Influenza B vaccine age

Answer 56

1 year

Question 57

Exclusion period in scarlet fever

Answer 57

24hrs after abx

Question 58

Exclusion period in HFM disease

Answer 58

None

Question 59

Exclude until lesions are crusted and healed, or 48 hours after commencing abx treatment

Answer 59

Impetigo

Question 60

What type of inheritance does haemophilia A have

Answer 60

X linked recessive

Question 61

Infectivity and incubation period of Chickenpo

Answer 61

Infectivity - 4 days before rash until 5 days after it goes Incubation - 10-21 days

Question 62

Age of onset Perthes disease

Answer 62

4-8

Question 63

Which are the common causes of meningitis in neonatal to 3 month old?

Answer 63

Group B strep E coli Listeria

Question 64

Treatment of whooping cough

Answer 64

Macrolide if cough within 21days Clarithromycin if < 1m Azith or clarith >1m + not pregnant Erythromycin if pregnant