Child health

Question 1

Treatment for croup

Answer 1

Oral dexamethasone, neb adrenaline if severe

Question 2

Treatment for epiglottitis

Answer 2

IV ceftrioxne, oxygen and senior ENT help

Question 3

What is treatment for persistent DDH

Answer 3

Open surgery

Question 4

What is the treatment for unstable DDH

Answer 4

Harness

Question 5

Way of remembering Salter Harris classification

Answer 5

Straight, Above, Lower, Through/two, Erasure

Question 6

Necrotising entercolitis treatment

Answer 6

Nil by mouth, clindamycin, ceftaxime

Question 7

What murmur do you get in a ventricular septal defect

Answer 7

Pansystolic murmur

Question 8

What murmur do you get with an atrial septal defect

Answer 8

Ejection systolic- splitting of s2

Question 9

Mx of patent ductus arteriosus

Answer 9

Ibuprofen, to inhibit prostaglandin synthesis

Question 10

What type of hyperbilirubinamia would breast milk jaundice cause

Answer 10

unconjugated

Question 11

What type of hyperbilirubiaemia would biliary atresia cause

Answer 11

conjugated

Question 12

What can unrepaired hydroceles lead to

Answer 12

Indirect inguinal hernia due to the process vaginalis not closing

Question 13

Ground glass appearance on CXR

Answer 13

RDS

Question 14

What presents with a characteristic salmon pink rash

Answer 14

Juvenile idiopathic arthritis

Question 15

Common causative organism for croup

Answer 15

Hemophillus influenza type B

Question 16

slapped cheek syndrome is caused by ?

Answer 16

Parovirus B19 sparing on nasolabial folds

Question 17

What is meconium ileus associated with

Answer 17

CF

Question 18

What vaccines are live

Answer 18

MMR, smallpox, chickenpox, yellow fever

Question 19

Double bubble sign on xray

Answer 19

Duodenal atresia

Question 20

Describe bronchiolitis

Answer 20

Typical presentation at 3-6 months
Corzyal symptoms with increased work of breathing (subcostal recession and head bobbing)
Caused by respiratory syncytial virus
Supportive treatment

Question 21

mnemonic for tetralogy of fallot

Answer 21

PROVe

Pulmonary stenosis
Right ventricular hypertrophy
Overriding aorta
Ventricular septal defect

Question 22

What is the most common congenital heart disease in down syndrome

Answer 22

atrioventricular septal defect

Question 23

What organism causes scarlet fever

Answer 23

Strep pyogenes

Question 24

Presentation of NEC

Answer 24

Bilious vomiting, bloody stools, absent bowel sounds, met acidosis

Abdo x-ray: dilated bowel loops and thumbprinting with gas in abdomen

Question 25

Presentation of congenital adrenal hyperplasia

Answer 25

Genetic defect (autosomal recessive) in 21 hyroxylase deficiency causing underproduction of cortisol and aldosterone and overproduction of androgens

Ambigous gentialia, hypotension, hypoglycaemia, dehydration, vomiting

MM- hydrocortisone, fludrocortisone, saline

Question 26

What is hirshsprungs disease

Answer 26

Nerves in rectum are missing so stool cannot be passed. Failing to pass meconium can be a sign
Can be confirmed with a rectal biopsy to determine absence of ganglion cells

Question 27

What does coxsackie virus A16 cause

Answer 27

Hand foot and mouth

Question 28

What does strep pyogenes cause

Answer 28

Scarlet fever

Question 29

What is the cause of slapped cheek syndrome

Answer 29

Parovirus B19

Question 30

Sausage shaped mass on RUQ

Answer 30

intusseption