Corrections - 3

Question 1

Average age for the following milestones:

a) sit without support with a straight back

b) run

c) ride a tricycle

Answer 1

a) 7-8m
b) 16m-2y
c) 3y

Question 2

Mx of a diaphragmatic hernia?

Answer 2

1) insertion of NG tube (with the aim of keeping air out of the gut)

2) intubate & ventilate in cyanosed patients

3) surgical repair

Question 3

Is whooping cough a notifiable disease?

Answer 3

Yes

Question 4

Head size in Fragile X?

Answer 4

Macrocephaly

Question 5

Testes size in Fragile X?

Answer 5

Large testes (macro-orchidism)

Question 6

Mx of small umbilical hernias in babies?

Answer 6

tend to resolve by 12 months of age –> reassurance

Question 7

What heart defect is most commonly associated with Fragile X?

Answer 7

Mitral valve prolapse

Question 8

Mx of scarlet fever?

Answer 8

oral penicillin V for 10 days

Question 9

Is scarlet fever a notifiable disease?

Answer 9

Yes

Question 10

What is HSP?

Answer 10

IgA vasculitis

The most common form of systemic vasculitis in children.

Question 11

Classic 4 features of HSP?

Answer 11

1) rash
2) abdo pain
3) arthritis/arthralgia
4) glomerulonephritis

Question 12

What do about 50% of cases of HSP follow?

Answer 12

URTI (mainly strep)

Question 13

Describe rash in HSP

Answer 13

Typically symmetrically distributed, non-blanching palpable purpura, especially on the lower legs, buttocks, knees and elbows.

Question 14

What joints are most affected by arthritis/arthralgia in HSP?

Answer 14

The knees and ankles are most often affected.

Question 15

What is a common GI complication in HSP?

Answer 15

Intussusception

Question 16

Renal features of HSP?

Answer 16

Vary from mild (i.e., asymptomatic haematuria and/or proteinuria) to severe (i.e., rapidly progressive nephritis, nephrotic syndrome, and renal failure).

Question 17

Diagnosis of HSP?

Answer 17

Clinical

Question 18

Whwat monitoring is required in HSP?

Answer 18

Patients should be followed for at least 6 months with periodic urinalysis and BP monitoring.

Question 19

Average age that a child would pull to stand?

Answer 19

8-10 months

Question 20

Average age that a child would squat to pick up a ball?

Answer 20

18m

Question 21

Average age that a child would hop on one leg?

Answer 21

3y-4y

Question 22

In X-linked recessive conditions, what is the chance of a female child of a heterozygous female carrier being a carrier?

Answer 22

50%

Question 23

Inheritance of thalassaemia?

Answer 23

Autosomal recessive

Question 24

What genetic syndrome can cause a small chin, posterior displacement of the tongue and cleft palate?

Answer 24

Pierre-Robin syndrome

Question 25

1st & 2nd line mx of a viral-induced wheeze?

Answer 25

1st –> SABA

2nd –> LTRA (oral montelukast) or ICS

Question 26

Role of abx in whooping cough?

Answer 26

Does not alter the course of the illneess, but has been shown to reduce the spread.

Question 27

Mx of children below the 2nd centile for height?

Answer 27

Should be reviewed by their GP

Question 28

Mx of children below the 0.4th centile for their height?

Answer 28

Should be reviewed by a paediatrician

Question 29

Location of eczema in:

a) infants
b) younger children
c) older children

Answer 29

a) face and trunk
b) extensor surfaces
c) flexor surfaces (typical distribution)