Acute Common Pediatric Conditions

Question 1

What is atypical UTI?

What are the organisms needed for atypical UTI?

Answer 1

Anything rather than EColi

Question 2

Recurrent UTI attack definition

Answer 2

1 uti + pyelonephritis or

2 uti without pyelonephritis

Question 3

Imaging in UTI if <6 months age

Answer 3

US for all cases +

If atypical or recurrent: do DMSA or micturating cystourethrography

Question 4

Imaging in UTI if 6m - 3 yrs

Answer 4

for atypical and recurrent only :
US
DMSA
micturating cystourethrography

Question 5

Imaging of UTI if > 3 yrs

Question 6

Age appropriate for febrile convulsion

Answer 6

6m - 6yrs

Question 7

First line of anticonvulsant in neonates

Answer 7

Phenobarbitone

Question 8

First line of anticonvulsant in age older than neonates

Answer 8

Diazepam and phenytoin

Question 9

Management of status epilepticus

Answer 9

ABC, position,O2
– Blood glucose ( Dextrostix)
– Rectal DIAZEPAM if no intravenous access
– Intravenous LORAZEPAM if IV access
– Intravenous Phenytoin
– Anaesthetist to sedate and ventilate if no response

Question 10

First line during status epilepticus

Answer 10

Diazepam, lorazepam

Question 11

Causes of acute flaccid paralysis (LMNL)

Answer 11

Poilo

Guillan barre syndrome

Question 12

Investigations of Guillan barre syndrome

Answer 12

CSF: cytoalbuminous dissociation
NCV: slow

Question 13

Tx of Guillan barre syndrome

Answer 13

Plasmapberesis or IVIG

Question 14

Site of affection of poliovirus

Answer 14

Anterior Horn cells

Question 15

Mode of transmission of poilivirus

Answer 15

Droplet or feco oral

Question 16

What is the difference between guillan barre and poliomyelitis

Answer 16

GBS: symetrical + pain(sensory affection)
Polio: asymmetrical weakness + no pain

Question 17

Most common organism causing hemolytic uremic syndrome

Answer 17

Ecoli