Extra

Question 1

How do you calculate childs expected height

Answer 1

Mum height + dad height - divided by 2
Add 6 cm for boy
Subtract 6cm for girl

Question 2

What does growth hormone treatment increase the risk of

Answer 2

SUFE

Question 3

Pit tumour that causes decreased pit hormone production

Answer 3

Craniopharyngioma

Question 4

Pit tumour that causes increased pit hormone production

Answer 4

Pit adenoma

Question 5

When does the ant fontanelle close

Answer 5

6-18m

Question 6

Details of androgen insensitivity syndrome

Answer 6

Genotypically male but insensitivity to androgens (testosterone) makes phenotypically female
Can be complete (female external genitalia) or partial (ambiguous)

Question 7

What is benign rolandic epilepsy?

Answer 7

15-20% of childhood epilepsy
Centrotemporal spikes
Usually stops by age 13
Clonic, partial sensorimotor affecting arms, face, tongue, hand.
Usually on falling asleep or soon after waking
Can progress to TC seizures

Question 8

Juvenile myoclonic epilepsy - prognosis

Answer 8

Does not remit spontaneously - need lifelong medication

Question 9

What is Still’s disease

Answer 9

Also called systemic juvenile idiopathic arthritis
Child arthritis with systemic upset such as high fevers (which come and go, rapidly returning to normal)
Rash - salmon macular - also affects different parts of the body in turn
Hepatosplenomegaly, lymphadenopathy and anaemia also feature
Arthritis is often absent in first few weeks/months

Question 10

Tests in stills disease

Answer 10

RF and ANAs often negative

anaemia, thrombocytosis and neutrophilia - ESR, ferritin and CRP raised

Question 11

Treatment of stills disease

Answer 11

Immunosuppression - steroids, methotrexate anakira (effective)

Question 12

What is adult onset stills disease

Answer 12

Like stills but in adults
High fever, joint pain and salmon macular rash
Hepatosplenomegaly, lymphadenopathy
RF and ANA negative
Inflammatory markers raised (ESR, CRP and ferritin) and high WCC

Question 13

Prognosis of mongolian blue spot

Answer 13

most disappear by age 1

Question 14

Where does nappy rash affect

Answer 14

Not skin folds

Question 15

What is Juvenile plantar dermatosis

Answer 15

Red, dry, fissured, glazed skin on sole - usually forefoot
can affect whole foot
Usually starts in primary school and resolves by mid teens
Caused by synthetic footwear
Relieved by emolliants (steroids no good) and wearing cotton socks and leather shoes

Question 16

Cancer risk with down syndrome

Answer 16

Leukaemia