PAEDS

Question 1

widespread crackles and wheeze on examination - pathogen likely involved

Answer 1

B.
Respiratory syncytial virus

Question 2

constituional growth delay - investigation

Answer 2

Radiological assessment of bone age (need to see if patient dropping off centiles)

Question 3

conditions assessed during 6-8 week check

Answer 3

congenital cataract, congenital heart disease, developmental dysplasia of the hip and cryptorchidism

Question 4

when to request renal ultrasound for children with UTI

Answer 4

recurrent AND first time UTI for those under 6 months, need to be carried out within 6 weeks

Question 5

child with UTI need repeat culture after treating?

Answer 5

No

Question 6

head lice treatmentr with alcohol content should be avoided whrn

Answer 6

Patient has history of atopy (eczema, asthma)

Question 7

vaccination schedule for premature neonates, what to follow

Answer 7

usual immunisation schedule

Question 8

constipation diagnosis on kids

Answer 8

less than 3 bowel movement in 1 week

Question 9

first line laxative for constipation for kids

Answer 9

macrogol/movicol

Question 10

SINGLE MOST likely to support a diagnosis of uncomplicated GORD in 6 week old

Answer 10

Distressed behaviour during feeding

Question 11

kid with upper abdominal pain and tachypneoa and febrile, likely diagnosis

Answer 11

pneumonia

Question 12

undescended testis bilateral - what to do

Answer 12

refer to paeds to rule out sexual development disorder

Question 13

still undescended testis on 6-8 week check and already referred to paeds, next step?

Answer 13

re-examine when aged 3 months

Question 14

HFM disease caused by

Answer 14

Coxsacki virus

Question 15

Incubation period of HFM disease virus

Answer 15

3 days

Question 16

HFM disease usually settles after how mnay days?

Answer 16

7 days

Question 17

Watchful waiting for ADHD, how many weeks max

Answer 17

10 weeks

Question 18

usual duration of diarrhoea on kids? Stops within?

Answer 18

5-7 days, stops within 2 weeks

Question 19

usual duration of vomiting in kids? Stops within?

Answer 19

1-2 days, 3 days

Question 20

acceptable weight loss on newborn

Answer 20

anything up to 20% in the first week of life

Question 21

inguinal hernia management for kids

Answer 21

urgent referral to surgery

Question 22

at what developmental age (in years) at which a child can be expected to be consistently dry at night?

Answer 22

five years

Question 23

Use of oral antibiotics in the treatment of acute otitis media (AOM) in children reduces the rate of which of the following?

Answer 23

Tympanic membrane perforation

Question 24

physiological jaundice begins to disappear at what day and resolves usually when

Answer 24

begins to disappear day 7 and resolves day 10 of life

Question 25

codeine cannpot be used on children aged? Why?

Answer 25

under 12 years, respiratory depression

Question 26

Early onset neonatal sepsis is most likely to be associated with

Answer 26

Maternal group B streptococcal colonisation

Question 27

AOM antibiotics will be of benefit if kid has?

Answer 27

Othorrhoea

Question 28

Within how many weeks is the cough of bronchiolitis most likely to resolve?

Answer 28

Three

Question 29

persistent crying, diarrhoea, constipation (less common), blood in stools, signs of atopy (eczema, wheeze), poor weight gain and feeding problems

Answer 29

Cow’s milk protein allergy

Question 30

Which medication can be considered for the treatment of significant gastro-oesophageal reflux disease (GORD) in infants who have NOT responded to feed-thickeners and subsequent alginate therapy?

Answer 30

Omeprazole

Question 31

When assessing a sick child, which of the following clinical features is the MOST significant when considering a diagnosis of meningococcal septicaemia?

Answer 31

Cold hands and feet/pallor/reduced CRT

Question 32

The neonatal blood spot test screens for which ONE of the following conditions?

Answer 32

sickle cell disease (SCD) cystic fibrosis (CF) congenital hypothyroidism (CHT) inherited metabolic diseases (IMDs). These are genetic diseases that affect the metabolism and include: phenylketonuria (PKU) medium-chain acyl-CoA dehydrogenase deficiency (MCADD) maple syrup urine disease (MSUD) isovaleric acidaemia (IVA) glutaric aciduria type 1 (GA1) homocystinuria (HCU)

Question 33

primary nocturnal enuresis is usually caused by?

Answer 33

congenital malformations (posterior urethral valves)

Question 34

secondary nocturnal enuresis is caused by?

Answer 34

organic problems (UTI, diabetes, neurologic, bladder overactivity, sleep apnoea)

Question 35

flat feet usually resolve by age?

Answer 35

6

Question 36

when to review AOM with supportive treatment if not improving?

Answer 36

after 3 days

Question 37

diagnostic test for cow's milk allergy?

Answer 37

none, clinica

Question 38

teenage parents causing neglect on their child, therapeutic input to offer family?

Answer 38

Comprehensive parenting intervention

Question 39

For which SINGLE time period (in hours) should fluids be restricted AFTER taking desmopressin?

Answer 39

8 hours

Question 40

first line for upper UTI in kids

Answer 40

cefalexin

Question 41

Which of the following is the SINGLE MOST likely risk factor associated with developmenal dysplasis of hip?t

Answer 41

oligohydramnios, breech, multiple pregnancy, big baby

Question 42

how to use dimeticone 4% lotion for head lice

Answer 42

Apply to dry hair and scalp, wash off after eight hours and repeat application after seven days

Question 43

A 16-year-old girl has had a bone marrow transplant.Which is the SINGLE MOST likely long-term musculoskeletal complication?

Answer 43

osteoporosis

Question 44

gestational correction when plotting height and weight for pre-term babies should continue until

Answer 44

1 year of age

Question 45

What is the MAXIMUM time period (in hours from the consultation) within which she should have a urine sample tested?

Answer 45

24 hours

Question 46

vigorous paroxysms of coughing

Answer 46

pertussis

Question 47

common complication of meningitis

Answer 47

sensorineural deafness

Question 48

treated meningitis, routine follow up investigation?

Answer 48

audiogram

Question 49

common cause of encephalitis in children

Answer 49

herpes simplex

Question 50

children learnt that caregiver is not reliably responsive at times of distress, diagnosis?

Answer 50

avoidant insecure atachment

Question 51

coeliac disease testing only valid if?

Answer 51

It may only be valid if gluten has been taken daily in at least two meals a day for six weeks before testing

Question 52

how long should be seizure free before stopping anti-epileptics

Answer 52

2 years

Question 53

kids with ulcerative colitis on steroids should have weight monitoring every?

Answer 53

3-6 months, otherwise every 12 months if

Question 54

when to monitor weight for patients with ulcertive colitis

Answer 54

if they are on steroids, apporaching ouberty, has active chronic disease

Question 55

painless lump on the neck after recent cold

Answer 55

cystic hygroma

Question 56

knee pain, fever, fatigue, swelling knee

Answer 56

Ewing's sarcoma

Question 57

for GORD, which is the SINGLE MOST appropriate initial management option to trial if breastfeeding assessment and advice has failed to help?

Answer 57

Oral alginate

Question 58

Expected duration of CROUP

Answer 58

2 days/48 hours

Question 59

Expected duration of SORE THROAT

Answer 59

2-7 days

Question 60

Expected duration of EAR ACHE

Answer 60

7-8 days

Question 61

Expected duration of COMMON COLD

Answer 61

15 days

Question 62

Expected duration of Non-specific RTI

Answer 62

16 days

Question 63

Expected duration of BRONCHIOLITIS

Answer 63

21 days

Question 64

Expected duration of ACUTE COUGH

Answer 64

25 days