Gen Paeds

Question 1

Dose of adrenaline 6-12 y/o

Answer 1

300 micrograms 1:1000

Question 2

How long does slapped cheek take to resolve

Answer 2

1 week

Question 3

2 types of precocious puberty

Answer 3

gonadotropin dependant and gonadotropin independent

Question 4

Otitis media causes

Answer 4

B = H.influenzae, moraxella catarrhalis V = RSV, rhinovirus

Question 5

Ages affected by febrile convulsions

Answer 5

6 months to 5 years

Question 6

eczema herpeticum management

Answer 6

acyclovir

Question 7

measles in unvaccinated mothers complications

Answer 7

miscarriage, prematurity, growth restriction

Question 8

brain tumours in children

Answer 8

craniopharyngioma
astrocytoma
epndymoma
meningioma

Question 9

definition: cranioharyngioma

Answer 9

originates in pituitary gland
presents with homonymous hemianopia from pressure on optic chiasm

Question 10

definition: astrocytoma

Answer 10

grade 1 to 4
G1 - pilocytic astrocytoma
G4 - glioblastoma multiforme

Question 11

appearance of grade 4 astrocytoma on CT

Answer 11

butterfly glioma

Question 12

definition: ependymoma

Answer 12

tumour of ventricular system

Question 13

definition: meningioma

Answer 13

tumour of arachnoid cells of meninges

Question 14

management: Kawasaki

Answer 14

immediate high dose aspirin and IV immunoglobulin

Question 15

role of immunoglobulin in Kawasaki

Answer 15

reduce duration of fevers and reduce risk of developing coronary artery aneurysms

Question 16

role of aspirin: Kawasaki

Answer 16

reduce risk of myocardial ischaemia

Question 17

cause: croup

Answer 17

parainfluenza virus

Question 18

management: croup

Answer 18

mild - dexamethasone
severe - hospital admission for obs, O2 and nebulised budesonide if PO steroid not tolerated

Question 19

cause: epiglottitis

Answer 19

HiB

Question 20

sunburst appearance on X-Ray

Answer 20

osteosarcoma

Question 21

pres: infantile colic

Answer 21

unsettled
excessive crying
pulling up legs
worse in evening

Question 22

tx: infantile colic

Answer 22

reassurance and support if weight ok and otherwise well

Question 23

pres: caput succedaneum

Answer 23

present at birth
swelling common in difficult deliveries/instrumental
crosses suture lines
resolves withi days

Question 24

pres: caphalohaematoma

Answer 24

swelling developing several hours after birth
usually parietal region
does not cross suture lines
can take months to resolve

Question 25

what to watch out for in cephalohaematoma

Answer 25

jaundice

Question 26

tx: threadworm

Answer 26

mebendazole and hygeine meaasures
(not for children under 6 months or pregnant/breastfeeding)