Mixed Q Bank Flashcards

1
Q

Which murmur is present in turners

A

Coarctation of aorta

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2
Q

Short stature, widely spaced nipples, webbed neck, aortic issues, primary amenorrhoea . What condition?

A

Turners syndrome

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3
Q

Bouts of excess crying and pulling up of legs, then flexing arms in under 3 month old. Dx?

A

Infantile spasms

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4
Q

Mx of infantile spasms?

A

Nothing - common and benign

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5
Q

Mx of child under 3 months with fever over 38?

A

Urgent assessment in hospital for ?sepsis

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6
Q

RIF pain with bloody diarrhoea?

A

Meckels diverticulum

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7
Q

RIF pain with coryzal prodrome?

A

Mesenteric adenitis

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8
Q

Neonatal hypotonia is most likely what?

A

Prader Willi

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9
Q

Ix for intussuception?

A

USS

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10
Q

Sx of intersusseption?

A

Abdo colic - draw up knees and turn pale
Vomiting
Red currant jelly stool
Sausage shaped mass in RUQ

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11
Q

High pitched cry in infancy ?

A

Cri du chat

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12
Q

Small jaw, low set ears, rocker bottom feet, overlapping fingers

A

Edwards syndrome (trisomy 18)

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13
Q

Learning difficulties, long narrow face, large ears, flexible fingers, large testicles

A

Fragile X syndrome

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14
Q

Webbed neck, pectus excavatum, short, pulmonary stenosis

A

Noonan,s

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15
Q

Microcephaly, small eyes, cleft palates, polydactyl, scalp lesions

A

Pataus

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16
Q

Hypogonadism, hypotonia, obesity

A

Prader willi

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17
Q

Learning difficulties plus friendly and extroverted

A

Williams syndrome

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18
Q

Mx of meningitis in children under 3 months

A

IV cefotaxmine and amoxicillin

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19
Q

Mx of meningitis in over 3 months old

A

IV ceftriaxone

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20
Q

5 diagnostic criteria of Kawasaki

A

High grade fever for 5+ days
Conjunctival injection
Bright red cracked lips
Strawberry tongue
Cervical lymphadenopathy
Red palms and soles

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21
Q

Mx of Kawasaki

A

High dose aspirin
IV immunoglobulins

22
Q

Complication and Ix for Kawasaki

A

Coronary artery aneurysm - echo

23
Q

Cause of early onset sepsis in newborns

A

Group b strep

24
Q

Imms at 2 months

A

6 in 1
Rotarvirus
Men B

25
Q

Imms at 3 months

A

6 in 1
Rotarvirus
PCV

26
Q

Imms at 4 months

A

6 in 1
Men B

27
Q

Imms at 1 year

A

HiB / Men C
MMR
PCV
Men B

28
Q

Imms at 3 to 4 years

A

4 in 1
MMR

29
Q

Imms as teenager with age

A

12 to 13 - HPV
13 to 18 - 3 in 1

30
Q

What’s in 6 in 1 vaccine?

A

Diphtheria, tetanus, whooping cough, polio, HiB, Hep B

31
Q

Whats in the 4 in 1 vaccine?

A

Diphtheria, tetanus, whooping cough and polio

32
Q

What’s in the 3 in 1 teenage booster?

A

Tetanus, diphtheria, polio

33
Q

Neonatal features of CF

A

Meconium ileus, prolonged jaundice

34
Q

Sx of CF

A

Main = Recurrent chest infections, malabsorption - steatorrhoea, liver disease
Also = short stature, DM, delayed puberty, nasal polyps, rectal prolapse

35
Q

Blood features of ALL

A

Anaemia, neutropenia, thrombocytopenia and high WCC

36
Q

Features of measles?

A

eyes, ears, mouth, nose

Prodromal symptoms (nose)
Koplik spots - white lesions in buccal mucosa (mouth)
Maculopapular rash starting behind ears (ears)
Conjunctivitis (eyes)

37
Q

Peak incidence of ALL

A

2 to 5 years

38
Q

Organism for hand foot and mouth disease

A

Coxsackie a16

39
Q

Main cause of ambiguous genitals

A

Congenital adrenal hyperplasia

40
Q

Loose foul smelling poo and poor growth after weaning. Abdo distension and anaemia. Dx?

A

Coeliac

41
Q

Oedema (periorbital usually), proteinuria, hypoalbuminaemia in child ?

A

Nephrotic syndrome - most commonly minimal change disease

42
Q

Pain and imobile join in sickle patient, causative organism?

A

Salmonella typhi

43
Q

Dose of adrenaline in anaphylaxis Mx?

A

300mg 1 in 1000

44
Q

Prophylactic treatment of respiratory distress in neonates?

A

Steroids to mum

45
Q

Itchy bum / genitals worse at night. Normal examination?

A

Threadworm

46
Q

Rash over legs and bum, abdo pain, joint pain, haematuria?

A

Henoch Schonlein Purpura

47
Q

What is HSP?

A

Small vessel vasculitis - the most common in kids

48
Q

Delay in passing meconium, bilious vomiting, bubbly appearance on AXR

A

Meconium ileus

49
Q

What condition is associated w Meconium ileus?

A

CF

50
Q

Consequence of intubation in new borns that is screened for?

A

Retinal hypertrophy

51
Q

Pierre Robin features ?

A

Cleft palate, retracted tongue, small lower jaw

52
Q

What problems do Pierre robin babies have?

A

Difficulty feeding due to anatomy