flick and flash

Question 1

what is the diagnostic method for intusseption

Answer 1

air contrast enema - air insulated in rectum

Question 2

what is mx of intusseption

Answer 2

air contract enema

if this is not successful can attempt surgery

Question 3

apperance on xray and on USS of intussception

Answer 3

sausage mass

target sign

Question 4

symptoms of intusseption

Answer 4

colicky pain
quiet and pale
blood in stole
redjelly current stool

Question 5

mx of pyloric stenosis

when does it present

Answer 5

first 2-3 weeks of life
ramsted surgery (pylorectomy )

Question 6

features of diaphragmatic henrnia

Answer 6

failure of one side of diaphragm to form so herniates into lung area
increasing risk of lung respiratory failure
associated with pulmonary hypoplasia
displaced apex beat
scaphoid abdo

Question 7

what increases in pyloric stenosis

Answer 7

bicarbonate

Question 8

difference between exomphalos and gastroechsis

Answer 8

gastroc abodminla content outside abdo and is uncovered
needs fluid NG tube covering and surgery

exomphalmos -slow repair and in a sac already
also covered, ng tube fluids sent for repair
if small -primary done
if large, then staged -in parts

Question 9

what ca n increase risk of Einstein anaoly

Answer 9

lithium in pregnancy
when the triscpuid valve is floppy and can fuse with wall of ventricular septal wall
this causes triscpud regurg and wolf Parkinson white sx therefore irregular hr

Question 10

feeding after surgery for gastroechesis

Answer 10

drip feed for 3-6 weeks

Question 11

dudeondal atresia seen with what

Answer 11

two fluid filled areas in the baby’s abdomen which are the dilated stomach and duodenum. This is referred to as the ‘double bubble’ of duodenal atresia

Question 12

management of constipation

Answer 12

reassurance
informing teachers minimising stress

toilet time - 20 mins after meals, first thing morning, before bed

star chart- for passing poo in toilet not for clean pants, do not punish if soiling.
often not their fault, don’t realise/know.

increase fluid exercise fibre

laxative - movicol -softener to make passage easier -1 satchet AM PM lactulose

then after 2-3 weeks introduce other such as Senna

continue so don’t relapse

Question 13

mx of gastroenteritis

Answer 13

continue breast milk

formula hold off until rehydrated

Question 14

what is possetting

Answer 14

after meal
bringing up small amounts of food
no weight loss
this is normal

Question 15

hydrops Foetalis is a complication of which of the following condition

Answer 15

alpha thalasemmia

Question 16

Horner dyndrome in kids

Answer 16

neuroblastoma

Question 17

What is cretinism seen in

Answer 17

due to congenital hypothyroidism

Question 18

triad for tetanus

Answer 18

lock jaw-trismus
risus sarcdonicus -grinning face spasm
opisthonus arched body, hyperextended neck

Question 19

erythema nodosum causes

Answer 19

•	SORE SHINS and TB
•	Streptococcal
•	OCP
•	Rickettsia
•	Eponymous (Behcets)
•	Sulfonamides
•	Hansen’s Disease (leprosy)
•	IBD
•	Non-Hodgkin’s Lymphoma
Sarcoidosis

Question 20

Prada willi

Answer 20

unipaterental disomy
imprinting
seen with angelmann too

Question 21

other bleomycin s/e

Answer 21

rauynauds syndrome

dermatographism

Question 22

fluids in burns

Answer 22

parkland formulae
BSa*4ML/KG
hALF OVER 8 HOUR
other half of 16 hour

Question 23

cherry lips

Answer 23

co posining

Question 24

augmentin

Answer 24

co-amoxiclav

amoxicillin and clavilinic acid