Child health Flashcards

1
Q

How would pyloris stenosis present on blood gas analysis?

A

Hypochloric metabolic alkalosis

- From vomiting up stomach acid

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2
Q

What is the classic presenting feature of pyloric stenosis?

A

Projectile vomiting

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3
Q

What kind of shunt occurs in tetralogy of fallot?

A

R to L

Causes failiure to oxygenate blood

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4
Q

What are the 4 defects in tetralogy of fallot?

A
  1. Ventricualr septal defect
  2. Pulmonary stenosis
  3. Overriding aorta (opening too far right)
  4. RV hypertrophy
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5
Q

What age group should dexamethosone be given if bacterial meningitis?

A

> 3m old

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6
Q

How do you manage suspected meninitis in community?

A

Stat dose of IM benzylpenicillin ( or cefotaxime if pen allergic). Immediate transfer to hospital

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7
Q

What are the two most common causative organisms in bacterial meningitis?

A
  1. Neisseria meningitidis

2. Streptococcus pneumoniae

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8
Q

What is the first line management for croup?

A

single dose oral dexamethosone

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9
Q

What is the most common cause of croup?

A

Parainfluenza virus

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10
Q

Which organisms causes the greatest morbidity/ mortality if it colonises a CF pt?

A

Pseudomonas Aeruginosa

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11
Q

Give 4 topical treatments for plaque psoraisis

A

Corticosteroids
Vitamin D analouges
Coal tar preparations
Dithranol

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12
Q

What is the main trigger for guttate psoraisis?

A

Streptococcal throat infection

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13
Q

What class of abx to treat whooping cough?

A

MAcrolides

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14
Q

Give 4 features, any of which would lead to diagnosis of whooping cough in someone w 14d unexplained cough?

A

Paroxysmal cough (v violent bursts)
Inspiratory whoop
Post-tussive vomiting
Apnoeic attacks in infants

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15
Q

What is the most common leukaemia in children?

A

Acute lymphoblastic leukaemia

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16
Q

What is the most common malignancy in children?

A

Acute lymphoblastic leukaemia

17
Q

Which vaccines are given at 2m (first set)

A

6 in 1
Meningococcal type B
Rotavirus

18
Q

Which vaccines are given at 3m?

A
6 in 1 (2nd dose)
Pneumococcal
Rotavirus (2nd dose)
19
Q

Which vaccines are given at 1yr?

A

2 in 1
Pneumococcal (2nd dose)
MMR
Menigococcal type B (3rd dose)

20
Q

Which vaccines are given at 4m?

A

6 in 1 (3rd dose)

Menigiococcal type B (2nd dose)

21
Q

Which vaccines are given at 3 years?

A

4 in 1

MMR (second dose)

22
Q

Which vaccine given at 12-13?

A

HPV

23
Q

Which vaccines are given at 14 yrs?

A

3 in 1

Meningococcal ACWY

24
Q

When would you perform a USS scan to assess for developmental dysplasia of the hip? (4 conditions)

A
  1. 1st degree FHx
  2. Breech presentation at any point after 36w
  3. multiple pregnancy
  4. Clinical suspicion (eg from barlows or ortolanis tests)
25
Q

What Ix modality do you use to screen for DDH in >4.5 month olds?

A

X-ray

26
Q

Give 12 of the ‘red symptoms’ of fever in under 5s and what course of action should be taken if a child had any of these signs?

A
Pale, mottled, ashen skin
No response to social cues
Does not wake
Weak/ high pitched/ continuous cry
Grunting
Chest recessions
RR >60
Reduced skin turgor
Fever >38 in under 3m old
Meningitis signs
Status epilepticus
Focal neuro sins/ focal seizures

Needs urgent paediatric assessment

27
Q

Give 4 features of noonans syndrome

A

Webbed neck
Pectus excavatum
short stature
Pulmonary stenosis

28
Q

Give 4 features of edwards sydrome

A

Micrognathia (small jaw)
Low ears
Overlapping fingers
Rocker bottom feet

29
Q

Give 5 features of fragile X

A
Learning difficulties
Macrocephaly
Large ears
Long face
Macro orchidism
30
Q
Give the gross motor mile stones for:
6m (and when do you refer?)
8m
12m (when when do you refer?)
2.5 yrs
A

6m: sits unsupported (refer at 9m)
8m: crawling
12m: Walking (refer at 18m)
2. 5yr: runs and jumps

31
Q
Give fine motor/vision milestones for:
6w (and referal limit)
4m (and referal limit)
7m (and referal limit)
12m
A

6w: follows objects w eyes (refer at 3m)
4m: reaches for toys (referal 6m)
6m: transfers toys from hand to hand (referal 9m)
12m: pincer grip

32
Q
Give speech and language milestones at:
7m (and referal)
10m:
12m (and referal)
2yrs (and referal)
A

7m: polysyballic babble (referal 1yr)
10m: discrimate sounds for mum and dad (mama dada)
12m: two to three words other than mama and dada (referal at 18m)
2yrs: joins 2 or more words (referal at 2.5yr)

33
Q

Give social milestones at:
6w (and referal)
12m
18 -24m (and referal)

A

6w smiles (referal at 8w)
12m waves bye bye
18-24m symbolic play (referal at 2-2.5yr)