Paediatrics

Question 1

Describe Tetralogy of Fallot

Answer 1

Over-riding aorta
Pulmonary stenosis
Right ventricular hypertrophy
Ventricular septal defect

Question 2

What condition does a boot shaped heart on CXR indicate?

Answer 2

Tetralogy of Fallot

Question 3

What screening do breech babies require?

Answer 3

All breech babies at or after 36 weeks gestation require USS for DDH screening at 6 weeks regardless of mode of delivery

Question 4

Which patient groups are screened for DDH?

Answer 4

1. First-degree family history of hip problems in early life
2. Breech presentation at or after 36 weeks gestation, irrespective of presentation at birth or mode of delivery
3. Multiple pregnancy

Question 5

What is the first line screening in DDH?

Answer 5

USS
Infant is > 4.5 months then x-ray is the first line investigation

Question 6

What are the signs of a life-threatening asthma attack?

Answer 6

SpO2 <92%
PEF <33% best or predicted
Silent chest
Poor respiratory effort
Agitation
Altered consciousness
Cyanosis

Question 7

What RR is considered a red flag in children?

Answer 7

> 60

Question 8

What is a recognised side effect of MMR?

Answer 8

Febrile convulsion

Question 9

What is a red flag associated with constipation?

Answer 9

Leg weakness

Question 10

What is the most common cause of HUS (haemolytic uraemic syndrome)?

Answer 10

Shiga toxin producing E.coli 0157