Paediatrics

Question 1

Antibiotic choice for CAP in severe penicillin allergy?

Answer 1

Azithromycin 10mg/kg (up to 500mg) daily for 3 days

Question 2

Features of measles?

Answer 2

1. High fever, malaise
2. Rash - face down
3. Coryzal symptoms
4. Conjunctivitis
5. Cough
6. Koplik spots

Question 3

Diagnosis of measles?

Answer 3

Measles serology +- nasopharyngeal swab (if DOH gives ok)

Question 4

Treatment for severe croup?

Answer 4

1. Nebulised adrenaline 0.1% 5ml

2. Oral pred 2mg /kg up to 50mg

Question 5

Which vaccines need specialist administration in history of egg anaphylaxis?

Answer 5

Yellow fever

Q fever

Question 6

Cause of Scarlett fever?

Answer 6

Group A strep pyogenes

Question 7

Oral antibiotic option for acne in pregnancy?

Answer 7

Erythromycin 250-500mg BD 6 weeks

Question 8

Treatment for neonatal cephalon pustulosis?

Answer 8

Usually none. Can use ketoconazole cream

Question 9

Cause of neonatal cephalic pustulosis?

Answer 9

Malassezia

Question 10

Diagnosis of Kawasaki disease?

Answer 10

Fever at least 5 days with at least 4 of 5:

1. Bilateral conjunctivitis
2. Oral mucosal changes
3. Erythema palms / soles and desquamation
4. Polymorphous rash
5. Cervical lymphadenopathy

Question 11

How long for aspirin for Kawasaki disease?

Answer 11

6 weeks

5mg/kg

Question 12

Treatment for primary enuerisis?

Answer 12

Bed wetting alarm

Desmopressin sublingual 120mcg at bedtime (max 240mcg)

Question 13

What to do if accidentally given expired vaccine?

Answer 13

Repeat dose - if live vaccine, wait 28 days

Question 14

6 day old with enlarged breasts and milky discharge?

Answer 14

Infant breast hyperplasia

Question 15

Enlarging red growth in newborns belly button?

Treatment?

Answer 15

Umbilical granuloma - benign

Silver nitrate stick
Ligature around neck
Salt BD

Question 16

Discolouration kver lower back / sacrum in babies?

Natural history?

Answer 16

Mongolian blue spot

Disappear by age 4

Question 17

Name for fracture of ulna + dislocation of radial head

Answer 17

Monteggia fracture-dislocation

Question 18

Buckle fracture management?

Answer 18

Cast for 3 weeks, no follow up needed

Question 19

Management of complete transverse metaphysical fracture minimally displaced?

Answer 19

Referral to fracture clinic - needs well moulded cast

- at least 6 weeks

Question 20

Differential 3 year old limping?

Answer 20

1. Transient Synovitis
2. Developmental dysplasia of the hip
3. Non accidental / accidental
4. Septic arthritis
5. Acute myositis

Question 21

What is perthes disease and what age group?

Answer 21

A vascular necrosis of the capital femoral epiphysis

4-10 years

Question 22

What does sufe stand for?

Answer 22

Slipped upper femoral epiphysis

Question 23

What is smegma?

Answer 23

Collection of desquamated epithelial cells / sebaceous matter between glans and foreskin

Normal, no issue

Question 24

When to give pregnant woman pertussis vaccine?

Answer 24

Between 20 and 32 weeks

Question 25

Pertussis treatment?

Answer 25

Azithromycin 10mg/kg (max 500mg) on day 1

Then half that for days 2-4

Question 26

Another name for severs disease?

Answer 26

Calcaneal apophysitis

Question 27

Diagnosis of severs disease?

Treatment?

Answer 27

Xray (but not necessary)

Avoid flat shoes, wear slight heel
Avoid strenuous sporting exercises for 12 weeks
- stretching / strengthening calf muscles

Question 28

Fever for 3 days, then rash appears afterwards?

Answer 28

Roseola infantum