Paeds osce must knows Flashcards

1
Q

Duchenne genetics?

A

X-linked recessive (dads cannot pass to sons but daughters will be carriers)

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2
Q

petechial rash in an otherwise well child preceding viral illness?

A

ITP

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3
Q

Prader wili is an example of genetics

A

Imprinting

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4
Q

Dx pertussis?

A

Nasal swab

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5
Q

calamine cream used for?

A

Chicken pox rash

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6
Q

What Abx to use in Mycoplasma pneumonia?

A

erythromycin

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7
Q

Triad of shaken baby syndrome

A

Retinal Haem. + subdural Haem. + Encephalopathy

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8
Q

Noonan is otherwise?

A

male turner

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9
Q

newborn blood test done on?

A

5-9th day

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10
Q

Single rash patch started on abdomen which has become symmetrically distrubted rash

A

Pityriasis Rosea (12wk self limiting)

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11
Q

Chr. of Williams?

A

7 (e7vish features)

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12
Q

What age to do Sx for perthes?

A

> 6

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13
Q

hyperinflation and fluid in the horizontal fissure?

A

TTN -> watch and wait

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14
Q

What happens to AFP in Neural tube defects?

A

Increased

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15
Q

small eyes and polydactyly

A

pautau (PP)

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16
Q

7-year-old boy with learning difficulties and macrocephaly

A

Fragile X

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17
Q

Micrognathia + Low-set ears?

A

Edwards

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18
Q

Purple rash?

A

Necrotising Fasscitis

*think post chicken pox infection

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19
Q

Where is lesion in Spastic celebral palsy

A

UMN periventricular white matter

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20
Q

Swelling of head that crosses suture lines

A

Caput Suc

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21
Q

DDH B or G?

A

Girls

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22
Q

Most common heart complication in babies with diabetic women

A

TGA

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23
Q

When are kids allowed to go back to school with Slapped Cheek?

A

When rash appears they are no longer infectious

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24
Q

How many days of Otitis media with ear pain is needed before ABx can be given?

A

> 4 days

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25
Q

Repeating your speech is common in what syndrome?

A

Fragile X CGG

FMR1 gene Trinucleotide repeat

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26
Q

Epstein Anomaly heart problems =>

A

malforme Tricuspid + RA hypertrophy + ASD

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27
Q

Undescended testes increase risk of (3)

A

Cancer / infertility / torsion

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28
Q

TGA vs TOF

when do they come around

A

TGA => few days

TOF => 4 weeks

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29
Q

Classic features: cataract, deafness, cardiac abnormalities at birth?

A

Rubella

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30
Q

Rocker bottom found in?

A

Edwards 18

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31
Q

Ladd’s procedure?

A

malrotation

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32
Q

kochers criteria

A

is it septic or not arthritis

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33
Q

Neonatal blood glucose admission number

A

<1MMOL

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34
Q

Bow legs normal at what age?

A

<3M

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35
Q

1 cause of painless bleeding requiring blood transfusion in paeds

A

Mickels diverticulum

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36
Q

Twin transfusion syndrome common with what type of pregnancy? (type of sac)

A

Monochorionic

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37
Q

What happens with personality with Perthes?

A

Disruptive

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38
Q

growing pains in the morning?

A

Never

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39
Q

What type of cyst moves with swallowing

A

Thyroglossal

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40
Q

Coxakie A or B?

A

A

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41
Q

What valve issue in turners?

A

Bicuspid aotic valve

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42
Q

When does Tx for hydrocele occur?

A

> 12M

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43
Q

When to stop phototherapy?

A

12-18hrs check to see if >50mmol under Tx line

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44
Q

post head trauma => seizure => rapid recovery with no post-ictal confusion =>

A

Reflex Anoxic Seizure
(vagal stimulation)

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45
Q

If a neonate has CHD with no cyanosis, that limits your choices to the? (4)

A

4Ds - ASD, VSD, PDA, defected aorta (coarctation of aorta)

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46
Q

Laboured breathing + intermittent apnoea + <12M

A

Bronchiolitis

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47
Q

Congenital Adrenal Hyperplasia leads to a deficiency in what?

A

21-Hydroxylase

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48
Q

What closes the PDA?

A

Ibuprofen

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49
Q

if feeding has been reduced by >50% in bronchiolitis what to do/

A

PAU

*also if dehydrated needs PAU

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50
Q

Whats normal to have with the heart with fevers?

A

Soft ejection murmurs

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51
Q

What to always do with UTI suspect after doing a dipstick?

A

Microbiology culture

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52
Q

How many months is it normal for growth to stunt for?

A

3M

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53
Q

hyperinflation and fine crackles with low grade fever?

A

Bronchiolitis

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54
Q

most to all kids should be sitting unsupported by?

A

9M

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55
Q

How do we test measles?

A

PCR measles RNA

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56
Q

What can happen to spleen in ALL?

A

Splenomegaly

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57
Q

Erythema infectiousum / B19 can cause what complication with pain in joints?

A

Aplastic crisis

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58
Q

Gold standartd for coeliac?

A

Biopsy

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59
Q

Retinopathy of prematurity is a complication from what procedure?

A

artificial ventilation

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60
Q

1st line asthma Ix?

A

spirometry + bronchodilatory reversibility

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61
Q

Precocious puberty starts when for boys and girls

A

Boys <9
Girls <8

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62
Q

Acute epiglottis for house?

A

Ciprofloxacin for household

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63
Q

APGAR consists of what?

A

Appearance (muscle tone)
Pulse
Grimace (reflex)
Appearance (skin)
Respiratory

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64
Q

if <5 and montelukast didnt work?

A

Referal

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65
Q

left - right shunts are otherwise known as?

A

Acyanotic

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66
Q

TORCH can cause what type of l-r shunt?

A

VSD

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67
Q

DiGeorge?

A

22Q11

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68
Q

Surgical Tx for Biliary Atresia?

A

Kasai

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69
Q

Most common type of brain tumour in kids?

A

Astrocytomas

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70
Q

Does brachial cyst move with swallowing?

A

No

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71
Q

4 days from onset of rash?

A

Measles

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72
Q

What type of lymphoma associated with glandular fever?

A

Burkitts

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73
Q

Rash diseapears on face when appearing on body?

A

rubella

74
Q

Pancreatitis caused by what type of virus?

A

Mumps

75
Q

Croup scoring system?

A

Westley

(Steeple sign)

76
Q

stridor post feeding?

A

Laryngomalaecia

77
Q

CF found on what chromosome

A

Ch7

78
Q

Tanner staging?

A

Puberty

79
Q

Delaayed puberty ages?

A

> 13F
14M

  • think 5 years from precocious
80
Q

No rolling by what age?
No sitting unsupported?
No crawling?

Red flags

A

3M
12M (normal 6M)
(normal 9M)

81
Q

H2H transfer age?

A

6M

82
Q

By when should they startle to sound?

Laugh by?

A

6week

3M

83
Q

Moro reflex diseapears by?

Babinksi reflex diseapears by when?

A

4M => Moro

12M => Babinski

84
Q

Double bubble sign?

A

Duodenal atresia (hours post birth)

85
Q

XR onion skin appearance on pelvis / long bones?

A

Ewings sarcoma

86
Q

What is used in fragile X to determine?

A

Southern blot

87
Q

Hodgkins shows what cells? What staging?

A

reed sternberg

Anne Harbour

88
Q

Impetigo can go back to school?

A

48hrs post Abx

89
Q

JIA boys or girls?

A

Girls

Salmon pink rash

90
Q

Whirl sign? (intestine)

A

malrotation

=> Ladds procedure

91
Q

When is new born blood spot done?

What does it test (4)

A

5-9

CF
Sickle
Congenital hypothyroidism
PKU ( +other metabolic diseases)

92
Q

Femoral head flattened?

A

Perthes

93
Q

Praddi willi on what ch?

A

Ch15

94
Q

Angelman is?

A

(15)Praddi willi

=> Mum deletion
=> Imprinting

95
Q

Bicuspid aorta?

A

Turners

96
Q

White pupil

A

Retinoblastoma

97
Q

Gabe Lewis?

A

Klienf

98
Q

Autosomal Dominant 12?

A

Noonan

=> Pectus excavatum + pulmonary stenosis

99
Q

tongue think?

A

Pierre robin

100
Q

William microdeletion? (personality)

A

7

Cocktail party personality

101
Q

Cri du Chat chr?

A

5

102
Q

Eisenmenger Syndrome

A

left to right shunt

that become R - L

103
Q

West syndrome (infantile spasms)

A

‘jack knife’ spasms that occur in clusters.

high morbidity.

104
Q

Low dose of ICS?

A

budesonide <200ug

105
Q

FEV1/FVC <0.7

A

Obstructive

106
Q

Aminophilline mechanism?

A

PDE inhibitor

Non-selective adenosine

107
Q

Ground glass apperance?

A

RDS

108
Q

Hearing loss + changes in colouring pigmentation of hair skin eye

A

Wadernburg

109
Q

Eye brows (PPPT slides)

A

Cornelia de lange

110
Q

Red lesion protruding from birth?

A

Infantile haemangioma

111
Q

Naevus flaemus?

A

Port white stain / salmon patch

112
Q

Blue / dark grey spot on back?

A

Mongolion blue spot

113
Q

Llambda sign?

A

diachorionic

114
Q

Drawing a circle/

A

3

115
Q

Drawing a verticle line

A

2

116
Q

RDS vs TTN

A

RDS (surfactant def.lung disease) => Surfactant issue with prematurity
TTN => fluid still in lungs (C-sec)

117
Q

microcephaly?

A

Patau

118
Q

Double bubble is gas where?

A

Stomach + duodenal

119
Q

what can keep a TGA from appearing early on?

A

VSD => Pancystolic murmur

keeps it acyanotic

120
Q

hypotonia, macroglossia, an umbilical hernia, reduced feeding and constipation (mild soft abdominal distention)

A

congenital hypothyroidism

121
Q

G6PD genetics

blood film findings

A

X-linked recessive

=> HEINZ BODIES

122
Q

remnant that causes bleeding stools?

A

mickels diverticulum

123
Q

excessive ingestion of cows milk can cause what?

A

IDA

124
Q

Scissor walking? what area damaged

A

spastic CP

=> Periventricular

125
Q

orbital cellulitis Tx

A

IV Clindamycin

126
Q

When can scarlet go bak to school

A

24hrs post Abx

127
Q

What is given to all asthma kids vaccine

A

influenza

128
Q

egg on a string

A

TGA

129
Q

other than the rash what el;se can B19 cause/

specific in sickle?

A

arthalgia

aplastic crisis

130
Q

dilated bowel loops

A

NEc

131
Q

leathery plaque

A

tuberous sclerosis

132
Q

do they need a MCUG over 1 year?

A

probs not -> should have been picked up <6M

so USS + DMSA

133
Q

histological changes biopsy of miminal change?

A

no grosly histological changes

=> Electron microscopy shows fusion of podocytes and effacement of foot processes

134
Q

B19 complication of fluid?

A

Hydrops fitalis

135
Q

Patent processus vaginalis

A

inguinal hernia

136
Q

preceding history of feeling light headed and sweaty seizure

A

vasovagal syncopy

137
Q

bronchiolitis obliterans organism

A

adenovirus

138
Q

haemolytic uraemic syndrome triad?

A

AKI
Thrombocytopaenia
Normocytic anaemia

139
Q

Congenital adrenal hyperplasia inheritance?

A

Autosomal recessive

140
Q

‘down and out’ eye

A

oculomotor (CN3) palsy

141
Q

protected areas for chemo?

A

testes + CNS

142
Q

penicillamine?

A

Wilsons copper

143
Q

how to monitor hodgkins

A

Positron emission tomography (PET)

144
Q

triad of B symptoms?

A

unexplained fever
unexplained weight loss
drenching sweats

145
Q

myoclonic jerks up to 2 hours after waking up?

A

Juvenille myoclonic epilepsy

146
Q

whenever a epilepsy is diagnpsed what to do next?

A

eEG

147
Q

small penis, reduced testicle size and no facial or body hair. He also had a reduced sense of smell

A

Kallman

148
Q

milia?

A

milj spotsa

149
Q

bilateral acute otitis media what to do? <2yr old

A

Amoxicillin 5 days immeditaely

150
Q

Sweensons Surgery?

A

Hirsprung tx

151
Q

Huntingtons genetics

A

Anticipation (CAG)

152
Q

CGG

A

fragile x

153
Q

Lisdexamfetamine

A

2nd line ADHD

154
Q

William’s Syndrome associated with what cardiac issue?

A

Supravalvular Aortic Stenosis (not cyanotic)

155
Q

Haematocolpos is associated with what?

A

Imperofrate hymen

blood in vagina not coming out -> amenohoe

156
Q

vigabatrin?

A

West Syndrome drug

157
Q

do innocent murmurs vary with position

A

yes

158
Q

maintance fluid levels kids

A

100 / 50 / 20

159
Q

minimal change Tx?

A

Corticosteroids

160
Q

if a child is vomiting do we give them a bolus?

A

yes => signs of dehydration

161
Q

Morbilliform Eruption?

A

eruption rash post amoxi + EBV

162
Q

1st line trying to conceive PCOS

A

weight loss

163
Q

if having any form of surgical manageemnt of ectopic what to give

A

ALWAYS give anti-d for salpingecetomy

164
Q

umbilical cord prolapse is found in waht type of hydramnios

A

Polyhydramnios

165
Q

trachelectomy?

A

CIn1 + cone biopsy similar procedures

166
Q

incubation period chicken pox?

A

21days

167
Q

head tilt in <12M?

A

Nah => ensure airway patency neutral position

168
Q

most common finding of neonatal sepsis

A

Respiratory distress

169
Q

prem babies immunisation changes adjustments from prematurity

A

no changes

=> do injections to chronological age
=> <28 wks than 1st set in hospital due to apnoea risk

170
Q

milestone calculation

A

normal milestone + (40 - gestational age)

171
Q

most common cause pathological neonatal jaundice

A

biliary atresia

172
Q

infantile spasm vs colic

A

infantile spasms the child will become distressed between spasms

colic the child will become distressed during the ‘spasms’

173
Q

type of intracranial haemorrhage with irritability + convulsions over the first 2 days of life

A

Subarachnoid: common // irritability + convulsions over the first 2 days of life

174
Q

undescended tstes mx?

A

13m (ideally operation <6)

175
Q

when is PDA closed

A

1 week delivery

176
Q

genetic disease common in children with consanguineous parents characterised by fatty substances, gangliosides, build up to toxic levels in the brain and spinal cord and affect the function of the nerve cells

A

Tay Saches

177
Q

6 blocks age =>

A

2 years

178
Q

9 blocks age =>

A

3 years

179
Q

scribbiling age?

A

18months

180
Q

weight estimation

A

(age+4) x 2