Paeds Knowledge

Question 1

Which scoring systems can be used to determine the severity of an IBD flare?

Answer 1

PUCAI score, Truelove and Witts Severity Score

Question 2

What is the usual volume for a fluid bolus in children?

Answer 2

10ml/kg

Question 3

Which investigation is important in suspected meningitis or septic babies?

Answer 3

LP

Question 4

Which aspects of a neuro exam may be important in babies?

Answer 4

Fontanelle / neck stiffness

Question 5

Give contraindications to performing an LP.

Answer 5

Signs of raised intracranial pressure
Shock
Unstable convulsions
Spreading purpuric rash

Question 6

LP with low glucose, high WCC and high protein suggests…

Answer 6

Bacterial meningitis

Question 7

LP with normal/borderline glucose/protein/WCC suggests..

Answer 7

Viral meningitis

Question 8

What is the treatment for meningitis in children?

Answer 8

Ceftriaxone + Amox if < 3 months, steroids if > 3 months

Question 9

Which antibiotic should be given prophylactically to contacts of a child with meningitis?

Answer 9

Ciprofloxacin

Question 10

What is meant by core paediatrics training?

Answer 10

ST1 - 4

Question 11

What is meant by specialty paediatrics training?

Answer 11

ST5 - ST7

Question 12

What is the usual peak of bronchiolitis symptoms?

Answer 12

Day 4/5

Question 13

How is an acute asthma attack managed in children?

Answer 13

Combinebs, steroids (PO or IV), if serious, magnesium/IV salbutamol

Question 14

Which medications are in combi-nebs?

Answer 14

Salbutamol and Ipratropium

Question 15

What is meant by stertor?

Answer 15

Nois breathing - snoring / nasal congestion

Question 16

How is hypoglycaemia managed in children?

Answer 16

10% glucose solution, 2mls/kg

Question 17

Give common causes of pyrexia in young children.

Answer 17

Viral illness
Chest infection
UTI
ENT - ear/throat infection
Meningitis

Question 18

How can fluid status be assessed in children?

Answer 18

Moist mucous membranes
Skin turgor
Assess for sunken eyes
Fontanelle in younger children
Peripheries (temperature etc.)

Question 19

‘Barking cough’ suggests…

Answer 19

Croup

Question 20

Croup is caused by…

Answer 20

Parainfluenza virus

Question 21

What is the usual treatment for croup?

Answer 21

150mcg/kg oral Dex

Question 22

Sore throat, drooling and stridor suggests…

Answer 22

Epiglottitis

Question 23

What is the immediate Mx for epiglottitis?

Answer 23

Leave alone, contact anaesthetics/PICU

Question 24

What are the important aspects of an adolescent history?

Answer 24

Home
Education/Eating
Activities
Drugs
Sexuality
Suicide
Safety

Question 25

What are the key aspects of DKA management in children?

Answer 25

Rehydration (IV) Fixed rate insulin infusion Treat triggers eg. sepsis Monitor electrolytes and for signs of cerebral oedema

Question 26

Which risk is associated with rehydration in children with DKA?

Answer 26

Cerebral oedema