Mixed Q Bank Flashcards
Which murmur is present in turners
Coarctation of aorta
Short stature, widely spaced nipples, webbed neck, aortic issues, primary amenorrhoea . What condition?
Turners syndrome
Bouts of excess crying and pulling up of legs, then flexing arms in under 3 month old. Dx?
Infantile spasms
Mx of infantile spasms?
Nothing - common and benign
Mx of child under 3 months with fever over 38?
Urgent assessment in hospital for ?sepsis
RIF pain with bloody diarrhoea?
Meckels diverticulum
RIF pain with coryzal prodrome?
Mesenteric adenitis
Neonatal hypotonia is most likely what?
Prader Willi
Ix for intussuception?
USS
Sx of intersusseption?
Abdo colic - draw up knees and turn pale
Vomiting
Red currant jelly stool
Sausage shaped mass in RUQ
High pitched cry in infancy ?
Cri du chat
Small jaw, low set ears, rocker bottom feet, overlapping fingers
Edwards syndrome (trisomy 18)
Learning difficulties, long narrow face, large ears, flexible fingers, large testicles
Fragile X syndrome
Webbed neck, pectus excavatum, short, pulmonary stenosis
Noonan,s
Microcephaly, small eyes, cleft palates, polydactyl, scalp lesions
Pataus
Hypogonadism, hypotonia, obesity
Prader willi
Learning difficulties plus friendly and extroverted
Williams syndrome
Mx of meningitis in children under 3 months
IV cefotaxmine and amoxicillin
Mx of meningitis in over 3 months old
IV ceftriaxone
5 diagnostic criteria of Kawasaki
High grade fever for 5+ days
Conjunctival injection
Bright red cracked lips
Strawberry tongue
Cervical lymphadenopathy
Red palms and soles
Mx of Kawasaki
High dose aspirin
IV immunoglobulins
Complication and Ix for Kawasaki
Coronary artery aneurysm - echo
Cause of early onset sepsis in newborns
Group b strep
Imms at 2 months
6 in 1
Rotarvirus
Men B
Imms at 3 months
6 in 1
Rotarvirus
PCV
Imms at 4 months
6 in 1
Men B
Imms at 1 year
HiB / Men C
MMR
PCV
Men B
Imms at 3 to 4 years
4 in 1
MMR
Imms as teenager with age
12 to 13 - HPV
13 to 18 - 3 in 1
What’s in 6 in 1 vaccine?
Diphtheria, tetanus, whooping cough, polio, HiB, Hep B
Whats in the 4 in 1 vaccine?
Diphtheria, tetanus, whooping cough and polio
What’s in the 3 in 1 teenage booster?
Tetanus, diphtheria, polio
Neonatal features of CF
Meconium ileus, prolonged jaundice
Sx of CF
Main = Recurrent chest infections, malabsorption - steatorrhoea, liver disease
Also = short stature, DM, delayed puberty, nasal polyps, rectal prolapse
Blood features of ALL
Anaemia, neutropenia, thrombocytopenia and high WCC
Features of measles?
eyes, ears, mouth, nose
Prodromal symptoms (nose)
Koplik spots - white lesions in buccal mucosa (mouth)
Maculopapular rash starting behind ears (ears)
Conjunctivitis (eyes)
Peak incidence of ALL
2 to 5 years
Organism for hand foot and mouth disease
Coxsackie a16
Main cause of ambiguous genitals
Congenital adrenal hyperplasia
Loose foul smelling poo and poor growth after weaning. Abdo distension and anaemia. Dx?
Coeliac
Oedema (periorbital usually), proteinuria, hypoalbuminaemia in child ?
Nephrotic syndrome - most commonly minimal change disease
Pain and imobile join in sickle patient, causative organism?
Salmonella typhi
Dose of adrenaline in anaphylaxis Mx?
300mg 1 in 1000
Prophylactic treatment of respiratory distress in neonates?
Steroids to mum
Itchy bum / genitals worse at night. Normal examination?
Threadworm
Rash over legs and bum, abdo pain, joint pain, haematuria?
Henoch Schonlein Purpura
What is HSP?
Small vessel vasculitis - the most common in kids
Delay in passing meconium, bilious vomiting, bubbly appearance on AXR
Meconium ileus
What condition is associated w Meconium ileus?
CF
Consequence of intubation in new borns that is screened for?
Retinal hypertrophy
Pierre Robin features ?
Cleft palate, retracted tongue, small lower jaw
What problems do Pierre robin babies have?
Difficulty feeding due to anatomy
