paediatrics

Question 1

caused by parvovirus B19
fever
headache
bright red macular erythema rash on cheeks (slapped cheek)

Answer 1

erythema infectiosum
= slapped cheek appearance

Question 2

management of slapped cheek

Answer 2

self limiting

Question 3

pain on exposure to sunligh
redness and swelling
blistering

Answer 3

erythropoeitic protoporphyria

Question 4

lesions on dorsal and plamar surface of hands and feet
small vesicles on buttocks
sore throat

Answer 4

hand, foot and mout

Question 5

what causes hand foot and mouth disease

Answer 5

coxsackie A16

Question 6

management of hand foot and mouth

Answer 6

keep blisters clean
appropriate fluids

Question 7

inflammed plaques with golden crust around mouth and nose
crusting

Answer 7

impetigo

Question 8

management of impetigo

Answer 8

topical fusidic acid
if widespread - flucloxacilin

Question 9

pearly papules with central depression
pruritus

Answer 9

molluscum contagiosum

Question 10

management of molluscum contagiosum

Answer 10

self limiting

Question 11

widespread erythema rash, blistering
bruising
looks like a skin burn
nikolsky sign positive

Answer 11

staphylococcal scalded skin syndrome

Question 12

management of SSSS

Answer 12

IV flucloxacilin

Question 13

abnormal positioning of the leg
delayed crawling
asymmetric groin
Barlow test
ortolani test

Answer 13

developmental dysplasia of hip
= dislocation or subluxation of femoral head during perinatal period

Question 14

management of developmental dyplasia of hip

Answer 14

pavlick harness
- full time 6 weeks then part time 6 weeks

Question 15

paralysis of arm
decreased motion of arm
waiter tip position

Answer 15

erb palsy
- c5/6 root

Question 16

pain at tibial tubercle
localised tenderness
activity limitation in a young athlete
localised swelling

Answer 16

osgood schlatter
= overuse syndrome

Question 17

management of osgood schlatter

Answer 17

rest
ice
NSAIDs
physio
surgery

Question 18

recurrent fractures
blue/grey sclera
short stature
deafness
dental problems
bone deformities

Answer 18

osteogenesis imperfecta (brittle bones disease)

Question 19

management of osteogenesis imperfecta

Answer 19

bisphosphonates
vitamin D
physio

Question 20

hypertension at young age
weak femoral pulses
systolic ejection murmur
claudication
femoral-femoral delay

Answer 20

coarctation of aorta

Question 21

wheeze
cough
grunting
nasal flaring
crackles

Answer 21

bronchiolitis

Question 22

management of bronchiolitis

Answer 22

supportive
RSV - parlizumab

Question 23

barking cough
rhinorrhoea
stridor
fever
worse at night

Answer 23

croup

Question 24

management of croup

Answer 24

mild - fluids
dexamethasone single dose

Question 25

sore throat tripod position unvaccinated child difficulty breathing drooling

Answer 25

epiglottitis

Question 26

investigation of epiglottitis

Answer 26

laryngoscopy lateral neck radiograph - thumbprint sign FBC

Question 27

management of epiglottitis

Answer 27

secure airway IV ceftriaxone O2 dexamethasone - reduce inflammation

Question 28

coughing followed by inspiratory gasp more common at night rhinitis cough fever

Answer 28

whooping cough - caused by bordetella pertussis

Question 29

management of whooping cough

Answer 29

clarithromycin