MSRA - paeds

Question 1

Commonest cause of cyanotic congenital heart disease

Answer 1

Tetralogy of Fallot

Question 2

Clinical features of TOF

Answer 2

cyanosis
right-to-left shunt
ejection systolic murmuer
boot shaped CXR

Question 3

Management of TOF

Answer 3

surgical repir

beta blockers in cyanotic epsiodes

Question 4

Rubella presentation

Answer 4

Rash starts on face and spreads to whole body

Suboccipital/postauricular LN

Question 5

Measles presentation

Answer 5

Rash starts behind ears and spreads to whole body

Prodrome:irritable, conjunctivitis, fever

Koplik spots

Question 6

Management of reflux in children

Answer 6

Alginates

PPI or H2RA only if faltering growth/distress/feeding difficulty

Question 7

Perthes disease - presenting age

Answer 7

4-8 years

Question 8

Perthes features

Answer 8

Hip pain + limp
Stiffness/reduced ROM

Widened joint space and femoral head flattening on xray

Question 9

Management of Perthes

Answer 9

Casts/braces

Surgery if >6 years old or severe

Question 10

Head-banging - normal at what age

Answer 10

Normal for 2 year old

>3 years = sign of autism

Question 11

Immunisations - at birth

Answer 11

BCG if risk factors

Question 12

Immunisations - 2 months

Answer 12

• 6in1
• Oral rotavirus
• PCV
• Men B

Question 13

6in1 vaccine

Answer 13

• Diptheria
• Tetanus
• Whooping cough
• Polio
• Hib
• Hep B

Question 14

Immunisations - 3 months

Answer 14

• 6in1

- Oral rotavirus

Question 15

Immunisations - 4 months

Answer 15

• 6in1
• PCV
• Men B

Question 16

Immunisations - 12-13 months

Answer 16

• Hib/Men C
• MMR
• PCV
• Men B

Question 17

Immunisations - 2-8 years

Answer 17

Flu vaccine annualy

Question 18

Immunisations - 3-4 years

Answer 18

• 4in1 pre-school booster

- MMR

Question 19

4in1 pre-school booster

Answer 19

• Diptheria
• Tetanus
• Whooping cough
• Polio

Question 20

Immunisations - 12-13 years

Answer 20

HPV

Question 21

Immunisations - 13-18 years

Answer 21

• 3in1 teenage booster

- Men ACWY

Question 22

3in1 teenage booster

Answer 22

• Diptheria
• Tetanus
• Polio

Question 23

Automatic hospital admission for febrile child

Answer 23

Aged <3 months with fever >=38

Aged 3-6 months with fever >=39

Fever for >=5 days

Question 24

Circulation/hydration - red

Answer 24

Reduced skin turgor

Question 25

Circulation/hydration - Amber

Answer 25

-Tachycardia
>160 aged <12months
>150 aged 12-24 months
>140 aged 2-5 years

• CRT >=3s
• Dry mucous membranes
• Poor feeding
• Reduced urine output

Question 26

Patellar tendonitis

Answer 26

Tender below patella

Chronic anterior knee pain, worse after running

Question 27

Osteochondritis dissecans

Answer 27

Intermittent swelling + locking

Pain after exercise

Question 28

Patella subluxation

Answer 28

Medial knee pain

Knee gives way

Question 29

Osgood-Schlatter (tibial apophysitis)

Answer 29

Pain, tenderness + swelling over tibial tubercle

Sporty teenages

Question 30

Chondromalacia patellae

Answer 30

Anterior knee pain on stairs and standing

Physiotherapy