Buzz

Question 1

3 day old child, turns cyanotic - femoral and brachial pulses.

Answer 1

TGA

Question 2

9 month old baby - goes blue and floppy when angry and upset.

Answer 2

Tet spells

Question 3

Heavy machinery under left clavicle

Answer 3

PDA

Question 4

Septal defect associated with DS

Answer 4

AVSD

Question 5

Loud pansystolic murmur

Answer 5

VSD

Question 6

5 month old boy, constipation. Bloating. on PR has explosive Diarrhea

Answer 6

Hirschsprung Disease

Question 7

Mx of Hirschsprung?

Answer 7

1. Biopsy (Suction rectal)

2. Bowel washout –> Surgery (Pull through procedure - anatomosis)

Question 8

1yo boy who is irritable and drawing up his legs - unwell with a cold. Sausage like mass on abdomen

Answer 8

Intussescption

Question 9

2 yo, Vomiting - seeks bottle after.

Answer 9

GOR

Olive shaped mass if Pyloric stenosis

Question 10

13yo pain in his abdomen - hit in the scrotum

Answer 10

Testicular torsion - Urgent surgical review (within 6hrs)

Question 11

2week old girl, jaundiced - floppy at times, course facial features and constipated. Guthrie test post

Answer 11

Congenital Hypothyroidism (High TSH). Thyroxine Treatment ASAP

Question 12

4day old baby - jaundiced, alert active

Answer 12

Physiological jaundice

Question 13

Baby fromm greek heritage, can’t eat beans

Answer 13

G6PD def

Question 14

12yo obese, sore hip

Answer 14

SUFE

Question 15

SUFE on appearance

Answer 15

Shorter on affected site, rotated leg

Question 16

What causes croup?

Answer 16

Parainfluenzae

Question 17

Drooling baby

Answer 17

Epiglottitis

Question 18

1yo, seizure - maculopapular rash. 40 degree fever

Answer 18

Roseala Infantum

Question 19

Erythema infectiosum?

Answer 19

Slap cheek - Parovirus

Question 20

COX sackie virus A causes

Answer 20

Foot hand and mouth disease

Question 21

15yo boy with sudden onset fever, retro-orbital pain - muscle aches and bone pain. Leukopenia and thrombocytopenia…

Answer 21

Dengue fever

Question 22

How do you differentiate between orbital and pre-orbital cellulitis?

Answer 22

Orbital - pain on eye movements and maybe proptosis. Urgent admission

Question 23

Boy with ecxema with vesicular rash on torso and flexures

Answer 23

Chicken pox

Question 24

14yo, lethargy, swollen glands, splenomegaly

Answer 24

EBV

Question 25

2mo old baby, 3 day history of cough, low grade cough. Wide spread crepitations

Answer 25

Bronchiolitis - caused by RSV

Question 26

16yo female, with DM1, polydipsia, lethargy

Answer 26

DKA

Question 27

15yo female with T1DM anorexia, tiredness, n/v, increasing pigmentation of palmar creases and mucosal membranes

Answer 27

Addison’s (PIGMENTATION, and autoimmune correlation)

Question 28

5yo boy with a penicillin allergy - tonsilitis.

Answer 28

Roxithromycin

Question 29

Stridor on inspiration and expiration

Answer 29

Subglottic stenosis

Question 30

How do you differentiate between Minimal change and Primary focal Glomerulosclerosis?

Answer 30

very similar except Primary focal has low C3 levels.

Question 31

Tram tracking + hep B

Answer 31

membrano proliferative GN

Question 32

Cancer that lacks an Iris

Answer 32

Wilm’s tumour (beckwith-Weideman)

Question 33

Rash + LOW + Mediastinal mass + Pale

Answer 33

ALL

Question 34

How do you differentiate Osteosarcoma and Ewing Sarcoma?

Answer 34

Ewing Sarcoma occurs in the diaphysis of long bones. Affects kids under <10yrears.

Question 35

Sunburst signs

Answer 35

Osteosarcoma

Question 36

Peri-osteal fat line

Answer 36

Osteomyelitis

Question 37

Football sign on AXR

Answer 37

NEC - perforated bowel

Question 38

Polyhydraminos and Down Syndrome. Vomitting kid

Answer 38

Duodenal atresia