GP paediatrics

Question 1

temperature >__ is a red flag

Answer 1

> 38 degrees

Question 2

define prolonged jaundice in the neonate

Answer 2

> 14 days in term babies

>21 days in pre term babies

Question 3

how long is the neonatal period

Answer 3

4 weeks

Question 4

D.Dx for prolonged jaundice

Answer 4

hypothyroidism
galactosaemia
biliary atresia

Question 5

D.Dx for vomiting in the neonatal period

Answer 5

reflux 
cows milk intolerance 
pyloric stenosis 
sepsis 
duodenal atresia

Question 6

list common respiratory conditions in children

Answer 6

bronchiolitis - RSV 
croup - 
Viral URTI 
asthma 
acute tonsillitis

Question 7

physical signs of respiratory disease/infection

Answer 7

nasal flaring 
cyanosis 
intercostal recession 
wheeze 
stridor 
cough

Question 8

what timeframe do the following conditions occur in children:
malrotation 
pyloric stenosis 
intussusception 
appendicitis

Answer 8

malrotation - hours/days
pyloric stenosis - (6) weeks
intussusception - months
appendicitis - years

Question 9

MSK conditions affecting children

Answer 9

joint pain: transient arthritis, SA, Perthes, SUFE, osgood schlatter

limp: DDH, Perthes
trauma: sprain, fracture, NAI

Question 10

triad of Scarlett fever

Answer 10

face
trunk
white/red tongue

Question 11

cause of molluscum contagiosum

Answer 11

pox virus

close contact or sharing of toys

Question 12

cause of slapped cheek

Answer 12

parovirus B19

Question 13

cause of hand foot and mouth disease

Answer 13

coxsackie virus

Question 14

what is the most important thing to check for when doing an eye examination

Answer 14

red reflex

Question 15

what examinations can be done to assess DDH

Answer 15

Ortolani and Barlows tests

Question 16

red flag signs in unwell babies

Answer 16

unresponsive 
continuous crying 
grunting/apnoeic SpO2<90%
severe tachypnoea 
severe tachy/bradycardia 
dry nappy 
non-blanching rash 
temp <36 or >38