Paediatrics

Question 1

What murmur is associated with Turner’s syndrome

Answer 1

Ejection systolic due to bicuspid aortic valve

Question 1

What complication can roseola infantum cause

Answer 1

Febrile convulsions

Question 2

What do ‘Codman triangle’ and ‘sunburst appearance’ on XR indicate?

Answer 2

Oesteosarcoma

Question 3

What is the most common primary malignant bone tumor? What other cancer is it associated with?

Answer 3

Osteosarcoma

Associated with retinoblastoma due to the Rb gene

Question 4

What does ‘onion appearance’ on XR indicate?

Answer 4

Ewings sarcoma

Extremely painful, occuring in pelvis and long bones

Question 5

Where does osteosarcoma normally occur?

Answer 5

Long bones- metaphyseal region
Typically femur>tibia>humerus

Question 6

What best describes the deformity of club foot?

Tx?

Answer 6

Inverted, plantar flexed and not passively correctable

Ponsetti method of casting

Question 7

Management of this?

Answer 7

Impetigo:

Topical hydrogen peroxide cream
If this is not possible then topical fusidic acid

If extensive disease then oral flucloxacillin

Isolate from school until 48hrs after starting abx treatment or when lesions have crusted over and healed

Question 8

Difference between gastroschisis and exomphalos

Answer 8

Gastroschisis is abdominal contents outside without a sac
Exomphalos is a herniation with contents being inside a sac, more of an umbilical ring defect

Question 9

What is exomphalos associated with?

Answer 9

Beckwith-Wiedemann syndrome
Down’s syndrome
cardiac and kidney malformations

Question 10

Where does measles rash start and spread to?

Answer 10

Starts on faceand upper neck then spreads to extremeties

Prodrome of conjunctivitis, cough an coryza