Respiratory

Question 1

What is the most common LRTI in children

Answer 1

Acute bronchiolitis

Question 2

What is the main organism cause of bronchiolitis

Answer 2

RSV (respiratory syncytial virus)

Question 3

Clinical features of bronchiolitis

Answer 3

Coryza
Cough 
Wheeze
Tachypnoea 
Apnoea 
Subcostal recession 
Fever

Question 4

Ix for bronchiolitis

Answer 4

Mainly clinical Dx

Question 5

Rx for bronchiolitis

Answer 5

Nothing maximal observation minimal intervention

Question 6

What is the most common organism of pneumonia

Answer 6

Viral

Question 7

Bacterial causes of pneumonia

Answer 7

Mycoplasma
Haemophilus
Pneumococcas

Question 8

Presentation of pneumonia

Answer 8

Malaise
Poor feeding 
Cyanosis 
Resp. distress
Tachypnoea 
Grunting 
Costal recession 
Cough

Question 9

Ix for pneumonia

Answer 9

Try to avoid CXR

Question 10

1st line Rx pneumonia

Answer 10

Amoxicillin

Question 11

2nd line Rx pneumonia

Answer 11

Macrolide Abx

Question 12

What does pertussis cause?

Answer 12

Whooping cough

Question 13

Organism pertussis

Answer 13

Bordetella Pertussis

Bacterial cause

Question 14

Who is pertussis dangerous in

Answer 14

Babies

Question 15

Describe coughing in pertussis

Answer 15

Coughing fits
After coughing take a big deep breath in
Producing whooping sound

Question 16

Ix for pertussis

Answer 16

Nasal swab

Question 17

What is the prevention for pertussis

Answer 17

Vaccination

Question 18

Rx for pertussis

Answer 18

Macrolide e.g clarithromycin

Question 19

Clinical features of pertussis

Answer 19

Whooping cough
Rhinorrhoea (nasal congestion)
Colour change
Vomiting

Question 20

When should you admit someone with pertussis

Answer 20

Someone <6 months

Question 21

Is pertussis contagious

Answer 21

Yes very

Question 22

How is pertussis spread

Answer 22

Air borne

Question 23

What is another name for laryngotracheobronchitis

Answer 23

Croup

Question 24

What symptom does croup cause

Answer 24

Stridor

Question 25

What is the most common cause of stridor

Answer 25

Croup

Question 26

Organism in croup

Answer 26

Commonly parainfluenza virus

Question 27

Clinical features of croup

Answer 27

Stridor Barking cough Hoarse voice

Question 28

At what time of year is croup more common

Answer 28

Autumn

Question 29

How is croup classified

Answer 29

Mild Moderate Severe

Question 30

Rx for croup

Answer 30

Dexamethasone (oral steroids)

Question 31

What is otitis media

Answer 31

Middle ear infection

Question 32

Symptoms of otitis media

Answer 32

Pain | Erythema in the ear

Question 33

Ix for otitis media

Answer 33

Clinical Dx | Otoscope

Question 34

Rx for otitis media

Answer 34

ANALGESIA | Rarely abx indicated

Question 35

Organism causing epiglottitis

Answer 35

Haemophilus influenzae type B

Question 36

Is epiglottitis common or rare

Answer 36

Rare now

Question 37

Features of epiglottitis

Answer 37

Stridor Drooling Struggling to breathe

Question 38

Rx for epiglottitis

Answer 38

ABCDE Intubation IV abx

Question 39

Organism cause of tonsillitis

Answer 39

Can be viral or bacterial Viral: Adenovirus Enterovirus Rhinovirus Bacterial: Group A strep

Question 40

Symptoms of tonsillitis

Answer 40

Pain swallowing | Sore throat

Question 41

Rx for tonsillitis

Answer 41

Most cases do nothing Self limiting Give analgesia Occasionally penicillin 10 days

Question 42

Organism causing bacterial tracheitis

Answer 42

Staph aureus

Question 43

Why is bacterial tracheitis an emergency

Answer 43

risk of occluding airway

Question 44

When you should you have a high clinical suspicious on bacterial tracheitis

Answer 44

Croup that does not respond to steroids

Question 45

Rx for bacterial tracheitis

Answer 45

Airway management | IV abx

Question 46

In which URTI is drooling common

Answer 46

Epiglottitis

Question 47

what is the commonest chronic respiratory disorder in children

Answer 47

Asthma

Question 48

1st line Rx asthma

Answer 48

SABA Salbutamol or (SABA + ICS)

Question 49

2nd line Rx asthma

Answer 49

ICS | Beclomethasone

Question 50

3rd line Rx asthma

Answer 50

LAVA

Question 51

What is a good investigation for childhood asthma

Answer 51

Small dose of ICS See if there is improvement Then remove again to see if symptoms come back to check for definite Dx

Question 52

What tool can be used in children with inhalers

Answer 52

Space

Question 53

What should you never use LABA without

Answer 53

ICS already prescribed

Question 54

Triad atopy

Answer 54

Hayfever Asthma Eczema

Question 55

Triggers of asthma

Answer 55

``` Cold air Exercise Pets Dust URTI ```

Question 56

If there is no wheeze...

Answer 56

no asthma