Paediatrics Flashcards

1
Q

Developmental Milestones: Sits without support

A

7-8 months

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2
Q

Developmental Milestones: Crawls

A

9 months

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3
Q

Developmental Milestones: Walks unsupported

A

13-15 months

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4
Q

when to refer for not being able to walk unsupported?

A

18 months

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5
Q

when to refer for not being able to sit without support?

A

12 months

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6
Q

Developmental Milestones: turns toward sound

A

3 months

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7
Q

Developmental Milestones: Double syllables ‘adah’, ‘erleh’

A

6 months

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8
Q

Developmental Milestones: Says ‘mama’ and ‘dada’

A

9 months

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9
Q

Developmental Milestones: Combine two words

A

2 years

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10
Q

Developmental Milestones: Knows and responds to own name

A

12 months

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11
Q

Developmental Milestones: palmar grasp

A

6 months

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12
Q

Developmental Milestones: point with finger

A

9 months

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13
Q

Developmental Milestones: good pincer grip

A

12 months

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14
Q

Developmental Milestones: able to build a tower of 3 with bricks

A

18 months

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15
Q

Developmental Milestones: smile

A

6 weeks

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16
Q

Developmental Milestones: Competent with spoon, doesn’t spill with cup

A

2 years

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17
Q

Developmental Milestones: waves “bye-bye”

A

12 months

18
Q

what does tetralogy of fallot consist of?

A
  1. ventricular septal defect (VSD)
  2. right ventricular hypertrophy
  3. right ventricular outflow tract obstruction, pulmonary stenosis
  4. overriding aorta
19
Q

Fever initially
Itchy, rash starting on head/trunk before spreading. Initially macular then papular then vesicular
Systemic upset is usually mild

A

chickenpox

20
Q

Fever, malaise, muscular pain
Parotitis (‘earache’, ‘pain on eating’): unilateral initially then becomes bilateral in 70%

A

Mumps

21
Q

Rash: pink maculopapular, initially on face before spreading to whole body, usually fades by the 3-5 day
Lymphadenopathy: suboccipital and postauricular

A

Rubella

22
Q

Prodrome: irritable, conjunctivitis, fever
Koplik spots: white spots (‘grain of salt’) on buccal mucosa
Rash: starts behind ears then to whole body, discrete maculopapular rash becoming blotchy & confluent

A

Measles

23
Q

Lethargy, fever, headache
‘Slapped-cheek’ rash spreading to proximal arms and extensor surfaces

A

Also known as fifth disease or ‘slapped-cheek syndrome’
Caused by parvovirus B19

24
Q

Fever, malaise, tonsillitis
‘Strawberry’ tongue
Rash - fine punctate erythema sparing the area around the mouth (circumoral pallor)

A

Scarlet fever- Reaction to erythrogenic toxins produced by Group A haemolytic streptococci

25
Q

Mild systemic upset: sore throat, fever
Vesicles in the mouth and on the palms and soles of the feet

A

Hand, foot and mouth disease- caused by coxsackie A16 virus

26
Q

Tetralogy of Fallot murmur

A

ejection systolic with splitting of second heart sound

27
Q

Continuous machine-like murmur

A

patent ductus arteriousus

28
Q

pansystolic harsh murmur

A

VSD

29
Q

ejection systolic murmur louder on inspiration

A

ASD

30
Q

cyanotic heart disease

A

tetralogy of Fallot
transposition of the great arteries (TGA)

31
Q

acyanotic heart disease

A

VSD and ASD
patent ductus arteriosus (PDA)
coarctation of the aorta
aortic valve stenosis

32
Q

coarctation of the aorta murmur

A

mid systolic murmur, maximal over the back

33
Q

ejection systolic murmur louder on expiration

A

aortic stenosis, hypertrophic obstructive cardiomyopathy

34
Q

what does the 6 in 1 vaccine include?

A

diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B

35
Q

When is the Men B vaccination given?

A

2, 4 and 12-13 months

36
Q

when is the HPV vaccination given?

A

HPV vaccination

37
Q

when is the MMR vaccine given?

A

12-13 months and 3-4 years

38
Q

what vaccine is given between 13-18 years?

A

‘3-in-1 teenage booster’ (tetanus, diphtheria and polio)
Men ACWY

39
Q

what vaccines are given at age 3-4?

A

‘4-in-1 pre-school booster’ (diphtheria, tetanus, whooping cough and polio)
MMR

40
Q

which congenital heart defect presents at birth?

A

transposition of the great arteries