Corrections

Question 1

Gastroschisis vs omphalocele?

Answer 1

Gastroschisis - defect lateral to the umbilicus

Omphalocele - defect in the umbilicus itself

Question 2

Mx of exomphalos?

Answer 2

gradual repair to prevent respiratory complications (staged closure starting immediately with completion at 6-12m)

Question 3

Mx of gastroschisis?

Answer 3

urgent correction

Question 4

What can increase the risk of 2ary bacterial infections in chickenpox?

Answer 4

NSAIDs

Question 5

2ary bacterial infections in chickenpox?

Answer 5

• commonly may manifest as a single infected lesion/small area of cellulitis
• in a small number of patients invasive group A streptococcal soft tissue infections may occur resulting in necrotising fasciitis

Question 6

What bacteria can cause 2ary nec. fash. in chickenpox?

Answer 6

group A streptococci (strep. pyogenes)

Question 7

What childhood infection has the following prodrome:

• conjunctivitis
• irritability
• fever

Answer 7

Measles

Question 8

When should you refer for surgical repair of an umbilical hernia?

Answer 8

If small & asymptomatic –> 4-5 y/o

If large or symptomatic –> 2-3 y/o

Question 9

When should CPR be started in paeds?

Answer 9

HR <60pm

Question 10

Compression rate in paeds?

Answer 10

15:2

Question 11

When can a child with scarlet fever return to school?

Answer 11

24h after starting abx

Question 12

When can a child with impetigo return to school?

Answer 12

a) 48h after starting abx

or

b) all lesions are healed/crusted

Question 13

When will most children with non-IgE-mediated cow’s milk protein allergy be milk tolerant?

Answer 13

At 3 y/o

Question 14

What test is used to screen newborns for hearing problems?

Answer 14

Otoacoustic emission test

Question 15

What is the most common childhood leukaemia?

Answer 15

ALL

Question 16

What movement is limited in SUFE?

Answer 16

Reduced internal rotation in flexion

Question 17

What is the investigation of choice for intussusception?

Answer 17

US

Question 18

1st line mx of scarlet fever?

Answer 18

Oral phenoxymethylpenicillin

Question 19

What group of conditions exhibit genetic anticipation?

Answer 19

Trinucleotide repeat disorders e.g. Huntington’s disease, myotonic dystrophy

Question 20

What is the repeat sequence in myotonic dystrophy?

Answer 20

CTG repeat sequence

Question 21

Definitive mx option for intestinal malrotation w/ volvulus?

Answer 21

Ladd’s procedure (includes division of Ladd bands and widening of the base of the mesentery)

Question 22

1st line mx of viral induced wheeze?

Answer 22

SABA

Question 23

2nd line mx of viral induced wheeze?

Answer 23

Oral montelukast or ICS

Question 24

How long should patients with whooping cough be excluded from school?

Answer 24

48h after starting abx

or

21 days from onest of symptoms if no abx

Question 25

At what age would the average child start to smile?

Answer 25

6 weks

Question 26

At what age would you expect the symptoms of infantile colic to resolve completely?

Answer 26

Around 6m of age

Question 27

Does hand foot and mouth disease require exclusion from a childcare setting or school?

Answer 27

No

Question 28

What test is involved in the Newborn Hearing Screening Programme (i.e. ALL newborns have it)?

Answer 28

Otoacoustic emission test

Question 29

What test can be done next if the otoacoustic emission test is abnormal?

Answer 29

Auditory brainstem response test

Question 30

What hearing test is done at school entry in most areas of the UK?

Answer 30

Pure tone audiometry

Question 31

What is the most common cause of childhood hypothyroidism in the United Kingdom?

Answer 31

Autoimmune thyroiditis AKA Hashimoto’s