Emergency And Practical

Question 1

What volume of fluids should be given as resus for children?

Answer 1

20 ml/kg

Question 2

What is the maintenance fluid requirement for children?

Answer 2

First 10 kg - 100ml/kg
Second 10 kg - 50ml/kg
Subsequent kg - 20ml/kg

Question 3

What route and dose of adrenaline is required in anaphylaxis in children?

Answer 3

IM 0.01 ml/kg

1 in 1000

Question 4

What dose of salbutamol nebulisers can be given to children in anaphylaxis?

Answer 4

0.05 - 0.15 mg /kg in 3 ml of saline

Question 5

What route and dose of steroid can be given to children in anaphylaxis?

Answer 5

IV methylprednisolone 2mg/kg

Question 6

What is the immediate management of a seizure?

Answer 6

Put in recovery position
>5 mins ring ambulance
Give buccal midazolam or PR diazepam

Question 7

What is the emergency management of epiglottitis?

Answer 7

Intubation

Question 8

What are the signs of testicular torsion?

Answer 8

Sudden onset, very painful groin/lower abdomen

Redness and oedema of scrotum

Question 9

What are the symptoms of DKA?

Answer 9

Acetone breath
Abdominal pain
Vomiting
Dehydration
Hyperventilation
Shock
Drowsiness

Question 10

A child with DKA should be given how much insulin?

Answer 10

0.1 units/kg/hour

Question 11

What are the commonest allergies in infants and toddlers?

Answer 11

Cows milk protein
Egg
Peanuts

Question 12

Cows milk protein has a cross-reactivity with what other food product?

Answer 12

Soya

Question 13

What are the commonest food allergies in older children?

Answer 13

Citrus fruits
Tree nuts and peanuts
Fish and shellfish

Question 14

How can we diagnose an allergy?

Answer 14

Clear history of exposure
Significant IgE Ab
Positive skin prick
Confirmed by controlled food challenge

Question 15

Describe an allergic reaction rash

Answer 15

Urticarial

Raised,well demarcated itchy wheals with an erythematous border and a pale centre