Common Problems in Paediatric Outpatients

Question 1

what aspects of growth should be included in a referral letter?

Answer 1

weight + height with centiles and development

Question 2

should parental concern be included on a referral letter? yes or no

Answer 2

yes

Question 3

instead of occupation on a referral letter, what should be used instead for a child?

Answer 3

school life and the illness’s impact on it

Question 4

most common reason for referral to a paeds outpatient clinic?

Answer 4

growth concern

Question 5

what would you suspect in an overweight child with short stature?

Answer 5

could be an endocrine problem

Question 6

what renal problems could cause a UTI in kids?

Answer 6

vasicouretric reflux
renal scarring
renal tract abnormalities

Question 7

a UTI is more concerning in older children T or F

Answer 7

F

Question 8

what symptoms in a child with a UTI would concern you of something renal?

Answer 8

frequent UTIs
raised BP
abdo mass
poor growth/health

Question 9

what is encopresis?

Answer 9

passage of normal stools in abnormal places

Question 10

treatment of constipation in kids?

Answer 10

laxatives
toileting advice
drinking plenty

Question 11

what underlying diseases could cause constipation

Answer 11

hirschsprung's
thyroid disorders
coeliac
anorectal abnormalities
neuromuscular problem

Question 12

when would you consider constipation in a newborn?

Answer 12

if they haven’t passed meconium in 24hrs

Question 13

what are the most serious GI diseases in children?

Answer 13

intusussception
malrotation
intermittent volvulus
IBD
coeliac

Question 14

at what time of the day is headache a red flag?

Answer 14

morning on waking

Question 15

what exacerbating factors are considered a red flag for headaches?

Answer 15

coughing

bending

Question 16

when is vomiting a red flag in a child with a headache?

Answer 16

in morning

Question 17

you should ask about gait in a child with a headache yes or no

Answer 17

yes

Question 18

when would syncope be a red flag?

Answer 18

in kids with congenital heart problems
when supine
during exercise
preceded by palpitations
FH is significant
examination abnormalities

Question 19

what is syncope?

Answer 19

fainting

Question 20

a breathless, blue, pale, sweaty child with poor feeding could have what condition?

Answer 20

heart murmur

Question 21

is a systolic or diastolic heart murmur a red flag?

Answer 21

diastolic

Question 22

are thrills on CV examination normal or a red flag?

Answer 22

red flag

Question 23

at what age are symptoms of an allergy most ambiguous?

Answer 23

infancy

Question 24

what symptoms in an infant could suggest allergy?

Answer 24

crying excessively
feeding problems
skin lesions
abnormal growth/development

Question 25

are tests for asthma more or less accurate in childhood?

Answer 25

less

Question 26

at what times is asthma said to be at its worst?

Answer 26

night

early morning

Question 27

kids need more than 1 of these to have asthma

Answer 27

wheeze
cough
difficulty breathing
chest tightness

Question 28

most useful piece of kit to help in the assessment of funny turns?

Answer 28

phone to VIDEO IT

Question 29

commonest kind of heart murmur in kids?

Answer 29

innocent heart murmur