Paediatrics

Question 1

What is the stepwise management for nocturnal enuresis?

Answer 1

1. General advice
2. Reward systems e.g. star charts
3. Enuresis alarm
4. Desmopressin

Question 2

What is the management of whooping cough?

Answer 2

Macrolide if the onset was less than 21 days ago

Question 3

Where do you check for pulse in neonates?

Answer 3

Femoral or brachial

Question 4

Where do you check for pulse in older children?

Answer 4

Femoral or carotid

Question 5

What can you use to manage Prader-Willi syndrome?

Answer 5

Growth hormone

Question 6

How is severe croup managed?

Answer 6

Oxygen + nebulised adrenaline

Question 7

When should dexamethasone be given for meningitis?

Answer 7

Only if older than 3 months

If CSF shows raised WCC and raised protein or positive bacteria on gram staining

Question 8

What is mesenteric adenines?

Answer 8

Inflamed mesenteric lymph nodes
Often after a viral infection
Causes abdominal pain
Self-limiting

Question 9

What imaging is used for DDH?

Answer 9

Ultrasound

Unless infant is >4.5m - then Xray

Question 10

What murmur is seen in Turner’s syndrome and why?

Answer 10

Ejection systolic murmur. Due to bicuspid aortic valve

Question 11

What is the most common complication of measles?

Answer 11

Otitis media

Question 12

How does Fragile X present?

Answer 12

Macrocephaly
Large ears
Macro-orchidism
Learning difficulties

Question 13

What is the initial management of intussusception?

Answer 13

AIr insufflation

Question 14

What features make a febrile seizure complex?

Answer 14

> 15 mins
Focal
Repeat seizure within 24 hours