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Year 3 Exams: Paediatrics > Asthma in Children > Flashcards

Asthma in Children Flashcards

1
Q

Features of Asthma (2)

A

Variable

Reversible

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2
Q

Genetic Causes of Asthma (2)

A

Adam 33

ORMDL3

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3
Q

Symptoms of Asthma (5)

A 
Wheeze
Cough
Shortness of Breath
Variability
Recurrent Chest Infections
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4
Q

How to Diagnose Asthma (2)

A

History

No Diagnostic Test

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5
Q

Tests for Variability in Asthma (3)

A

Reversibility
PEF Charting
Challenge Tests

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6
Q

Tests for Eosinophilic Inflammation or Atopy (3)

A

FeNo
Blood Eosinophils
IgE Skin Prick Testing

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7
Q

If QOL is affected in Asthma how to confirm diagnosis?

A

Trial of ICS

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8
Q

If QOL is not affected how to treat asthma?

A

Watch and See

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9
Q

How long to trial ICS for in Asthma?

A

2 Months

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10
Q

ICS Treatment in Asthma can cause what complication?

A

Oral Thrush

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11
Q

Differential Diagnosis of Asthma under 5 Years Old? (5)

A 
Congenital
Cystic Fibrosis
PCD
Bronchitis
Foreign Body
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12
Q

Differential Diagnosis of Asthma over 5 years old? (4)

A

Dysfunctional Breathing
Vocal Cord Dysfunction
Habitual Cough
Pertussis

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13
Q

How to measure control of Asthma? (4)

A

Short Acting Beta Agonist/Week
Absence School
Nocturnal Symptoms
Exertional Symptoms

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14
Q

What treatment to start on in Asthma in Children?

A

Low Dose ICS

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15
Q

Initial add on preventer for children over 5 years old in Asthma?

A

Add Inhaled LABA

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16
Q

Initial add on preventer for children under 5 years old in Asthma?

A

Add LTRA

17
Q

When should a regular preventer be used in Asthma in Children? (3)

A

After Diagnostic Test
B2 Agonists >2 Days a Week
Symptoms +3 Times a Week or Waking one night a week

18
Q

A long acting beta agonist in asthma should not be used without?

A

ICS

19
Q

What preventer should be used in asthma in children?

A

Leukotriene Receptor Antagonist

20
Q

What Leukotriene Receptor Antagonist can be used in Asthma in children?

A

Montelukast

21
Q

Dry powder devices only achieve what lung deposition in asthma?

A

20%

22
Q

How to treat Severe Asthma (5)

A 
IV Salbutamol
IV Aminophylline
IV Magnesium
IV Hydrocortisone
Intubate and Ventilate
23
Q

Adverse Effects of ICS treatment in Asthma? (5)

A 
Height Suppression
Oral Candidasis
Adrenocortical Suppression
Hypertension
Cataracts
24
Q

Adrenocortical Suppression is particularly with what Asthma treatment?

A

Fluticasone

Year 3 Exams: Paediatrics (46 decks)

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