Paediatric Infections & Immunisations

Question 1

Rough-textured rash, fever and white tongue with red dots suggests…

Answer 1

Scarlett fever

Question 2

What is the treatment for Scarlet Fever?

Answer 2

Phenoxymethylpenicillin

Question 3

What is the treatment for mild croup?

Answer 3

Stat dose of dexamethasone

Question 4

What is the most common causative organism of croup?

Answer 4

Parainfluenza

Question 5

What is the management for pertussis?

Answer 5

Azithromycin + Notify public health

Question 6

What is the exclusion period for pertussis?

Answer 6

48 hours after antibiotic dose

Question 7

What is the most common causative organism of epiglottitis?

Answer 7

Haemophilus influenza B

Question 8

How is epiglottitis usually managed?

Answer 8

Senior - airway

Oxygen & IV Abs

Question 9

What is the causative organism in hand, foot and mouth?

Answer 9

Coxsackie A

Question 10

Mild systemic upset, oral ulcers, vesicles on palms and soles suggests…

Answer 10

Hand, foot & mouth

Question 11

What is the causative organism in roseola infantum?

Answer 11

Human Herpes Virus 6

Question 12

Fever followed by rash, potentially with seizures suggests…

Answer 12

Roseola infantum

Question 13

What is the causative organism in slapped cheek syndrome?

Answer 13

Parvovirus B19

Question 14

Which other condition can Parvovirus B19 precipitate?

Answer 14

Aplastic crisis

Question 15

How is Measles managed?

Answer 15

Mainly supportive + Notify Public Health

Question 16

Flu-like symptoms, post-auricular & sub-occpital lymphadenopathy, maculopapular rash suggests…

Answer 16

Rubella

Question 17

What is the treatment for meningococcal septicaemia?

Answer 17

IV Ceftriaxone + Amoxicillin if < 3months

Question 18

Abdominal pain
Low-grade fever
Arthritis
Followed by purpuric rash suggests…

Answer 18

Henoch-Schonlein purpura

Question 19

Which congenital infection is associated with cat faeces?

Answer 19

Toxoplasmosis

Question 20

Chorioretinitis, hydrocephalus and intra-cranial calcifications in a neonate suggests…

Answer 20

Toxoplasmosis

Question 21

Hearing loss, cataracts & heart defects suggests…

Answer 21

Congenital rubella

Question 22

Hearing loss, low birth weight, petechial rash, microcephaly, seizures suggests…

Answer 22

Congenital CMV

Question 23

What is the most common complication of measles?

Answer 23

Otitis media

Question 24

Which vaccines are given at 8 weeks?

Answer 24

6-in-1 - diphtheria, tetanus, whooping cough, HiB, Hep B and polio
Rotavirus
Men B

Question 25

What vaccines are given at 12 weeks?

Answer 25

6-in-1 second dose
Rotavirus second dose
Pneumococcal (PCV) first dose

Question 26

Which vaccines are given at 16 weeks?

Answer 26

6-in-1 third dose

Men B second dose

Question 27

Which vaccines are given at 16 weeks?

Answer 27

6-in-1 third dose

Men B second dose

Question 28

Which vaccines are given at 1 year?

Answer 28

HiB/Men C
MMR first dose
PCV booster
Men B booster

Question 29

Which vaccines are given at 3 years 4 months?

Answer 29

MMR

4-in-1 - diptheria, tetanus, whooping cough and polio

Question 30

How is the flu vaccine delivered for children?

Answer 30

Nasally every year between age 2 and 10

Question 31

Give examples of live-attenuated vaccines.

Answer 31

MMR, rotavirus, smallpox

Question 32

What is the exclusion period for impetigo?

Answer 32

Until lesions have crusted over or after 48 hours of treatment

Question 33

What is the management of threadworms?

Answer 33

Single dose mebenazole for whole family & hygiene advice