Paeds

Question 1

What causes Croup?

Answer 1

Parainfluenza Virus

Question 2

How does Croup present?

Answer 2

Barking cough, Harsh intermittent stridor, no drooling

Question 3

On examination of Croup with X-ray what sign is seen?

Answer 3

Steeple sign (Narrow Trachea)

Question 4

What is the management of Croup?

Answer 4

Oral Dexamethasone + Nebulised Adrenaline if severe

Question 5

What is Epiglottitis caused by?

Answer 5

H. Influenzae

Question 6

How does Epiglottitis present?

Answer 6

Sudden onset,
No cough,
Soft constant stridor,
drooling,
Unable to swallow

Question 7

How is Epiglottitis treated?

Answer 7

IV ceftriaxone + oxygen and Immediate senior ENT help.
(DO NOT examine throat)

Question 8

What cases Bronchiolitis?

Answer 8

RSV

Question 9

How does Bronchiolitis present and when?

Answer 9

1st or 2nd winter

• Feeding difficulties,
• Increased work of breathing,
• Wheeze.

Question 10

What is the management of Bronchiolitis?

Answer 10

Supportive oxygen and NG tube for feeding

Question 11

What causes Whooping Cough?

Answer 11

Bordetella pertussis

Question 12

What is the typical presentation of whooping cough?

Answer 12

• 2-3 days corzyal symptoms,
• acute cough,
• Inspiratory whoop,

WORSE AT NIGHT, POST COUGH VOMITING

Question 13

How is Whooping cough Diagnosed?

Answer 13

nasal swab

Question 14

What is the management of Whooping Cough?

Answer 14

anything that ends in -cin. (oral macrolides)

Oral erythromycin, Azithromycin, Clarithromycin