Paeds

Question 1

Reasons to investigate a baby with a UTI with an US?

Answer 1

< 6 months (after 6 weeks)
Recurrent infection (during acute infection)

then:

DMSA at 4-6 months and then MCUG if atypical or recurrent

Question 2

Young child with fever and no source. Test urine within:

Answer 2

24 hours

Question 3

Fluid restriction if taking desmopressin for nocturnal enuresis

Answer 3

From 1 hour before and 8 hours after

Question 4

NICE guidelines re benefit groups indicating immediate abx for AOM in children

Answer 4

Under 2s
Bilateral
Otorrhoea

Question 5

Impetigo school exclusion

Answer 5

48hrs abx
or
lesions healed, crusted, dry

Question 6

Measles
Mumps
Rubella

School exclusion (from what symptom)

Answer 6

Measles (rash) 4 days
Mumps (swollen glands) Rubella (rash) 5 days

Question 7

Menigitis benpen doses:

Answer 7

<1 300mg
1-10 600mg
>10 1.2g

Question 8

BCG administration route

Answer 8

intradermal

Question 9

Child with UTI symptoms, pyuria but no organism - Rx?

Answer 9

Treat

Question 10

How long seizure free before stopping anti-epileptics

Answer 10

2 years

Question 11

How to measure temperature in child under 4 weeks

Answer 11

Electric thermometer in axilla

Question 12

Baby with inguinal hernia

Answer 12

Urgent OP referral

Question 13

Most common cause of childhood D+V

Answer 13

Rotavirus