Common problems in primary care

Question 1

Infant presents with cough and wheeze not feeding. differential? (common)

Answer 1

Bronchiolitis
Croup
Viral URTI
Asthma (new or exacerbation)
Acute tonsillitis

Question 2

Infant presents with cough and wheeze not feeding. differential? (rare)

Answer 2

Cystic fibrosis
Acute Epiglottitis
Foreign Body 
Pneumonia 
Cardiac causes 
Malignancy

Question 3

The normal respiratory rate for an infant is between 30-40 breaths per min

Answer 3

T

Question 4

The normal respiratory rate for a child over the age of 12 is 15-20 bpm

Answer 4

T

Question 5

What is the normal respiratory rate for a child aged between 2 and 5

Answer 5

25-30

Question 6

What is the normal respiratory rate for a child aged between 1 and 2

Answer 6

25-35

Question 7

Most common causes of abdominal pain in children?

Answer 7

Gastroenteritis
UTI
Constipation

Question 8

3 yr old presents with vomiting diarrhea and abdominal pain, not an infection,.. differential?

Answer 8

Intuscception
Volvulus
Appendicitis

Question 9

15 yr old presents with vomiting diarrhea and abdominal pain, not an infection,.. differential?

Answer 9

Appendicitis
Trauma
Ovarian Torsion
Testicular Torsion

Question 10

No wet nappies/ not passed urine in last 18 h is a red flag

Answer 10

T

Question 11

Non-blanching rash or mottled/ ashen/ cyanotic is a red flag

Answer 11

T

Question 12

Weak, high pitched or continuous cry is normal

Answer 12

F

red flag

Question 13

very sleepy child is normal

Answer 13

F

amber flag

Question 14

What is the severe range for tachypnoea in <1yr olds?

Answer 14

> 60

Question 15

What is the severe range for tachypnoea in 1-2yr olds?

Answer 15

.>50

Question 16

What is the severe range for tachypnoea in 2-4yr olds?

Answer 16

> 40

Question 17

What is the severe range for tachycardia in <1yr olds?

Answer 17

> 160

Question 18

What is the severe range for tachycardia in 1-2yr olds and 2-4yr olds?

Answer 18

> 150, >140