Extras

Question 1

Why is a child with Down syndrome more prone to snoring?

Answer 1

Reduced muscle tone in upper airways and large tongue/adenoids. Also increased risk of obesity which is a predisposing factor for snoring

Question 2

What is the initial treatment for hirschsprungs and what is the definitive management?

Answer 2

Initial- bowel irrigation to all the baby to pass meconium
Definitive- anorectal pull through (surgery)

Question 3

What is the most common complication of measles?

Answer 3

Otitis media

Question 4

Orchid is and deafness are complications of what infection?

Answer 4

Mumps

Question 5

What is a bisferiens pulse?

Answer 5

Characterised by two strong systolic peaks separated by a mid systolic dip (seen in aortic regurgitation and hypertrophic cardiomyopathy)

Question 6

What is the most likely causative agent of a bacterial pneumonia in children?

Answer 6

Strep pneumoniae

Question 7

What congenital cardiac defects are patients with turners syndrome most likely to have?

Answer 7

Bicuspid aortic valve (15%)
Coarctation of the aorta (5-15%)

Question 8

What are the most serious long term health problems for women with turners syndrome?

Answer 8

Aortic Dilatation and dissection