Diseases Flashcards

1
Q

koplik spots, white spots (grain of salts on buccal mucosa)

A

measles

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2
Q

what type of virus is measles

A

RNA paramyxovirus

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3
Q

what are the complications of measles

A
PNEUMONIA IS MOST COMMON
encephalitis 
subacute sclerosing panencephalitis (late 5-10 years later)
febrile convulsions 
giant cell pneumonia
keratoconjunctivitis 
diarrhoea 
increased incidene of appendicitis 
myocarditis
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4
Q

how does hirschsprung disease present

A

congenital dissease, much more common in males
bilious vomiting
abdo distension
CONSTIPATION
failure to pass meconium in the first 48 hours post birth

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5
Q

pathophysiology of hirschsprung disease

A

a ganglionic segment of bowel due to a developmental failure of parasympathetic Auerbach and Meissner plexus

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6
Q

what is klumpkes palsy damage to

A

lower brachial pleuxus-nerves innervating the hand

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7
Q

if testes undescended by 3 months what do you do

A

refer to a paediatric surgeon for both unilateral and bilateral undisended testes

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8
Q

what is the acidosis/alkalosis in pyloric stenosis q

A

hypochloraemic, hypokalaemic ALKALOSIS

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9
Q

how is pyloric stenosis managed

A

ramstedt pylotomyotomy

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10
Q

what age do you play peek a boo by

A

9 months

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11
Q

what age do you wave bye bye at

A

12 months

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12
Q

what shows a target sign on ultrasound

A

intususseption

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13
Q

barking cough =

A

croup

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14
Q

whooping cough

A

bordetella pertussis

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15
Q

what is croup caused by

A

parainfluenza virus

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16
Q

what is whooping cough caused by

A

bordetella pertussis which is a bacteria

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17
Q

what are the symptoms of whooping cough

A

usually worse at night and after feeding, may be ended by vomiting and associated entral cyanosis

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18
Q

how is whooping cough treated

A

gram negative bacteria so treat with antibiotics usually a macrolide

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19
Q

how is croup treated

A

viral cause so supportive and can be treated with steroids

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20
Q

what can a baby do at 6 weeks

A

control of head in vertical
stills to voice
follows torch with eyes
smile

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21
Q

baby at 3 months

A

when pulled to sit control of their head
friendly around strangers
hands held in midline
starting to vocalise
reacts pleasurably to familiar situations

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22
Q

what are the WHO six solutions to the most preventable causes of under 5 deaths

A

immediate and exclusive breastfeeding
skilled attendants for antenatal birth and postnatal care
access to nutrition and micronutrients
family knowledge of danger signs to a childs health
water sanitation and hygiene
immunisations

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23
Q

age to be continent of urine during the day

A

2 Years

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24
Q

stridor and coughing

A

croup

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25
Q

what is croup

A

Upper respiratory tract infection, stridor from laryngeal oedema and secretions

26
Q

what is the most common cause of nephrotic syndrome in children

A

minimal change disease

27
Q

what is enucleation

A

removal of the eyeball

28
Q

what do you worry about in a child with an absent red reflex

A

retinoblastoma

29
Q

what is efficacy

A

how effective that increased effort is in providing oxygenation and ventilation
it shows you the end organ effects

30
Q

what is expiratory grunting a sign of

A

effort

31
Q

what is tachycardia and pulse oximetry a sign of

A

efficacy

32
Q

what is respiratory effort

A

work of breathing

any signs of respiratory distress relate to effort

33
Q

what are newborn babies screened for

A
cystic fibrosis 
sickle cell disease 
medium chain acyl-CoA drydrogenase deficiency
congenital hypothyroidism 
deafness 
phenylketonuria
34
Q

what is the moro reflex an example of

A

a primitive reflex

35
Q

marked head lag on pulling up from supine

A

newborn

36
Q

gross development at 4 months can be assessed by what

A

pulling to sit

37
Q

what is the average age for pubertal boys growth spurt

A

14 years

38
Q

what is strasbismus

A

cross eyed,

39
Q

average age for girls to enter puberty

A

11

40
Q

average age for boys to enter puberty

A

11.5

41
Q

when is vitamin D supplements prescibed

A

pregnant and breastfeeding mothers containing 10ug/400i.u of vitamin D
all infants and young children aged 6 months-5 years should take daily vitamin D drops to help them meet the vitamin D requirement of 7-8.5ug per day
infants on formula DONT unless they are getting less than 500ml formula per day
breastfed infants may need to receive drops from one month of age is the mother hasn’t taken vitamin D throughout the pregnancy

42
Q

drinks with two hands from a cup

A

12 months

43
Q

framework for taking a history from young people

A

HEEADSSS

44
Q

what parameters are included in the HEEADSSS framework

A
Home 
Education/employment 
Eating
Activities 
Drugs 
Sex
Suicidality 
Safety
45
Q

what is DCD

A

developmental coordination disorder

motor skills disorder-difffuclty in coordinating movements

46
Q

what is beri beri caused by

A

a deficiency in thiamine deficiency B1

47
Q

what is pellagra caused by

A

a deficiency in niacin vitamin B3

48
Q

what is niacin

A

vitamin B3

49
Q

what is b1

A

thiamine

50
Q

examples of killed vaccines

A

polio and pertussis

51
Q

toxoid vaccines

A

diphtheria and tetanus

52
Q

polysaccharide extracts

A

HiB, meningococcal, pneumococcal

53
Q

viral meningitis shows what cells

A

lymphocytes

54
Q

bacterial meningitis shows which cells

A

polymorphs

55
Q

what immunisations do you get aged 1

A

MMR, MenC/HiB, Pneumococcal and Men B

56
Q

immunisations aged 2 months

A

5 in 1 (diphtheria, tetanus, pertussis, poilio and HiB)
rotavirus
pneumococcus
Men B

57
Q

immunisations aged 3 months

A

5 in 1-diptheria, tetanus, pertussis, polio, HiB
rotavirus
Meningococcus C

58
Q

immunisations aged 4 months old

A

5 in 1-diptheria, tetanus, pertussis, polio and HiB
pneumococcus
Meningococcus B

59
Q

immunisations aged 3 years 4 months- 5 years

A

MMR booster

diphtheria, tetanus, pertussis, polio

60
Q

when do you get immunised against HIb

A

2,3,4 months and 1 year